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Published byChester Copeland Modified over 9 years ago
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October 28, 2011 KILLER APP #1:
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2 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Issue Address public demand for issue resolution without increasing workforce or modifying infrastructure Proactive identification and notification of unemployment issues on individual claims Persistently accessible point of contact and submission User to Agency Agency to user Description of Solution Automated interactive claim review and information submission provide answers, education, and solutions to claimants and employers using an exhaustive interactive knowledgebase
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3 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Centralized electronic messaging system between the agency, information systems and users facilitate data sharing and cross referencing establish interface layer between public and agency information systems
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4 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) enable state specific enhancement of any information system with supplemental data collection, manipulation, analysis, and storage on the front end reduce mailing expenses by making it possible to exchange information and documentation over currently established computer networks Screening process reduce the need to contact an agency representative relieve the demands on the Claim Center telephone access line
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5 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) User Interface: The V.O.I.C.E. would be presented on screen as a person and interactions would simulate a person to person experience a simple picture avatar (no animation) text statements option links Move the conversation along specific topics Direct users to endpoints
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6 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) End Points: Information endpoint – provides information for clearly defined topics according to the users interactions with V.O.I.C.E. Action endpoint – claimant is redirected to web apps to complete transactions (file claim, certify, etc.) Submission endpoint – claimant is given an onscreen form to submit information to the agency Contact endpoint – claimant is directed to contact agency for claim review due to an identified issue that cannot be resolved by V.O.I.C.E.
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7 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Knowledgebase structure: The knowledgebase would be organized in logic trees according to user and category of information Claimant specific logic tree
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8 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Knowledgebase structure: Employer specific logic tree Knowledgebase access control by user and category
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9 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Agency uses: Proactively identify possible issues that should be addressed by agency improper payment wrong separation issue unaddressed employment Gather statistics concerning what issues claimants navigate to on a per claimant basis on a general public basis
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10 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Agency uses: Reduce unnecessary contact by requiring claimants to first navigate beyond provided answers and solutions. Direct claimant submissions to various/multiple departments Provide online submission form to keep agency contact information hidden from the public
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11 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Agency uses: Initiate agency notices for claim review send alerts to the agency invisible to the claimant for follow up when the claimant does not initiate contact concerning a V.O.I.C.E. identified issue
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12 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Agency uses: attach form letter notices to claims that can be provided to the claimant when the V.O.I.C.E. is accessed by the claimant incomplete claim statements (provide statement to be completed and submitted online) proof of earnings (instruct claimant to provide documentation by fax) rebuttal (provide form to be completed and submitted online) address correction due to returned mail (provide form to be completed and submitted online)
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13 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Agency uses: notice of non payment failure to certify (connect claimant with weekly certification application) disqualifying answer (instruct claimant to contact agency) excess wages (connect claimant with claim filing application) notice of non-current certifications (connect claimant with weekly certification application) Identify specific claims when session information is available (user has logged in to their account)
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14 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Claimant uses: Acquire simple answers to questions learn to prevent issues and improper payments resolve questions and continue claims without contacting agency Directly connect to online application services as needed new claim weekly certification change address pin reset
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15 Killer App #1 Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Claimant uses: statement completion appeal request issue submission Receive V.O.I.C.E. initiated notices to contact agency for claim review based on the claimant’s interaction with V.O.I.C.E. provide specific instructions to claimant as to what information or documentation is necessary for their specific issue
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16 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Claimant uses (continued): Receive agency initiated notices to contact the agency for claim review By account login By email By mobile device
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17 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Employer uses: Acquire simple answers to questions Receive agency notifications Submit information online separation statements at time of separation as requested by the agency submit mass layoff notice report new hires
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18 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Description of Solution (continued) Employer uses (continued): Dispute charges Request appeal access claim documentation and statements online to prepare for appeal hearing
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19 Killer App #1: Virtual Online Interactive Claim Examiner (V.O.I.C.E) Anticipated Results Increased issue resolution by providing answers, education, and solutions to claimants and employers online all hours of the day improved claim processing turn around reduced agency contact enhanced data collection and processing expedited identification of ongoing critical claim issues reduction in traditional contact expenses
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“Integrity: Own It!” Questions? State Contact for follow-up: James P. Anderson: James.P.Anderson@tn.govJames.P.Anderson@tn.gov Phone: 615/253-4928 20
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