Philippine E-Journals

ECLAIMS: A CLOUD-BASED SCHEDULING AND PROCESSING OF MEMBERS BENEFIT CLAIMS FOR SOCIAL INSURANCE INFORMATION SYSTEM

Jayrezze O Cañedo

 

Abstract:

eClaims is a cloud-based information system that provides more enhanced online social insurance benefit transactions. It eliminates the inconvenience on the part of the members in filing and processing claims from social insurance agencies. This system provides assistance to the compulsory members in filing and monitoring their claims application. This system also covers the processing and scheduling of payment for retirement, EC sickness, and disability benefits. By using this system, members can now be able to file their claims online and submit the necessary documentary requirements. eClaims has SMS and email notification feature that will inform and update the member about the status of the claim. On the part of the claims processor, this system allows them to view and evaluate the claims of the members, process the payments and schedule the date of releasing of benefits. Processors can also put remarks if the documents filed need further verification. eClaims includes integration of MacroDroid, real-time claim analytics, and cloud computing. Real-time claim analytics display reports on the number of benefits filed, list of claims application and list of released payments. The development of eClaims enhances the quality of services and promotes a hassle-free online transaction between social insurance members and claims processors. It also addresses the challenges that the members are experiencing today in manually processing their claims. Furthermore, eClaims aims to support a less paper manner of benefits application.