Operational Efficiency: File & Workflow Modernization

Background

When I joined Affinity Health Plan as the Manager of Claims Operations, the entire Claims Reconsideration operation was running on 100% paper-based workflows.

Every single document — corrected claims, appeals, grievances, COB, DHS regulatory items, member reimbursements, Payment Integrity checks, provider disputes — came in as physical paper stored in drawers, file cabinets, and boxes.

This created massive operational breakdowns:

  • 73,000+ backlog

  • 100+ day aging

  • High error & compliance exposure

  • No visibility into daily throughput

  • No digital workflow, intake, or tracking system

  • Inconsistent processes across Claims, Appeals & Grievances, Payment Integrity & Recovery, Regulatory Department (DHS), and Mailroom

  • Provider satisfaction issues and regulatory delays

Leadership assigned me to modernize, digitize, and stabilize the entire ecosystem; complete lifecycle.

Operational Efficiency: File & Workflow Modernization Case study
 

My Role

I served as the:

  • Operational lead

  • Workflow & system architect

  • Implementation owner

  • Cross-department liaison

  • Training & reporting lead

  • Accountability & governance driver

I oversaw operations for Claims Resolutions, Adjustments Allocation, Member Reimbursements, and DHS cases, and collaborated closely with A&G, Payment Integrity, the Mailroom vendor partners to fulfill requests and complete required adjustments.


Key Challenges

  • 100% paper workflows

  • No scanning or digital intake

  • No digital folders, routing, or tracking

  • Vendor mailroom with zero structure in routing to the appropriate departments

  • Thousands of documents weekly

  • No aging visibility

  • No real-time reporting

  • Constant compliance risk

  • High misrouting & manual errors

  • No workflow accountability


Actions & Solutions Delivered

Designed the full digital workflow architecture

  • Transformed ALL paper workflows into a centralized digital system

  • Built electronic pipelines for:

    • Corrected claims (IP/OP/HCFA)

    • Appeals & Grievances

    • COB

    • Member reimbursements

    • DHS reconsiderations

    • Coding & clinical appeals

    • Payment Integrity check workflows

Established daily scanning & digital intake (vendor partnership)

  • Implemented daily scanning of all incoming mail

  • Built digital intake buckets for every category

  • Eliminated physical drawers permanently

Built a centralized categorical sorting system

  • Created digital structures for all claim and reconsideration types, enabling accuracy and speed.

Built & trained a specialized staff in digital allocation

  • Staff trained to properly classify EVERY scanned item

  • Eliminated misrouting and reduced handling errors

  • Optimized processing times

Developed a digital aging & inventory reporting system

  • Created real-time aging visibility

    • Built Excel + Tableau dashboards

    • Implemented analytics for weekly ELT reporting

    • Introduced throughput, inflow/outflow, and staffing efficiency metrics

Automated prioritization model

  • Created digital “priority folders” based on:

    • Aging

    • Regulatory timelines

    • Claim type

    • Staffing load

    • Compliance risk

Enabled Claims to process work strategically and efficiently.


Full cross-department alignment & governance

Partnered across A&G, PI, DHS, Mailroom vendor, and Claims leadership to streamline workflows, eliminate duplicate work, and align regulatory processes.


Results & Impact (Within Six Months)

Massive Operational Turnaround

  • Reduced backlog from 73,000+ to current (under 15 days)

  • Cut aging from 100+ days → under 15 days

  • Improved turnaround times by 80%

  • Eliminated compliance risk tied to DHS and appeals

  • Reduced misrouting and errors across all departments

  • Enabled ELT-ready reporting with daily visibility

  • Created sustainable, repeatable workflows still used enterprise-wide

Cost Reduction & Staffing Efficiency

The new metric added cleanly:

  • Reduced labor utilization by 35% monthly due to new digital workflow

  • Saved $75,000 in labor costs in Q1 alone

  • Reduced overtime and unnecessary manual touchpoints

  • Reallocated staff to higher-value tasks instead of paper sorting


Recognition

  • Received formal written recognition from Affinity leadership (CEO Michael Murphy, 2019) for the dramatic Claims inventory reduction and operational performance improvements.

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