RASCL

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Save time, fight fraud, and improve claims outcomes with RASCL, RGA’s Automated Solution for Claims Leakage.

Traditional manual claims review is no longer sustainable. At a time of rapid medical advances and increasingly complex policy language, claims departments risk falling behind. RASCL is your solution – an advanced, cloud-based, digital tool that seamlessly integrates and instantaneously analyzes claims with a high level of consistency and accuracy. With this fully automated tool, insurers can maximize productivity and better identify and address claims leakage caused by fraud, waste, and abuse. 

Download RASCL Overview

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Why RASCL? 

Claims departments are often evaluated based on processing speed for low-value, high-volume claims, yet traditional methods can’t keep pace. RASCL empowers claims teams to identify fraud, waste, and abuse in a more consistent and timely manner. 

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RASCL Changes the Game

Capitalizing on machine learning and advanced technologies, RASCL can seamlessly integrate with existing claims systems. It combines expert rules from RGA’s medical experts and data scientists with published clinical rules and internationally recognized clinical guidelines, data-led machine learning and other advanced technologies. 

RASCL Can:

  • Identify excluded conditions
  • Validate treatment necessity
  • Confirm reasonable and customary charges 

 

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Our Capabilities

Improve Your Performance

RASCL improves claims portfolio performance by mitigating the need for manual review. The solution empowers you to:

  • Improve triage, allowing more efficient use of resources and the potential for straight-through processing
  • Deliver consistent, timely decisions
  • Identify high-risk claims
  • Reduce the incidence of fraud  
  • Streamline the adjudication process
  • Complete transactions more quickly

 

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A pair of colleagues in Asia meet to discuss guidance from RGA's Global Claims Manual

Stay Current

RASCL eliminates the need for dual entry by employing existing claims data. RGA can also pool industry data locally, regionally, and globally to form cost benchmarks that can help RASCL improve over time.



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Let's Connect

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Dr. Steve Woh
Dr. Steve Woh

Chief Medical Officer and 
Claims Manager
RGA Global Health 

Colin Weston
Colin Weston

Vice President (ret.)
Head of Global Health Claims
RGA Global Health

Our Team is Here to Help

Improve the claims process and make health reimbursement business more profitable with RASCL. For more information, contact your RGA Business Development representative or RGA’s Head of Global Health Colin Weston.

Get in touch