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Highlights
- Several US state governments have passed legislation to implement Paid Family and Medical Leave (PFML) programs to support workers and their families during key life events, such as childbirth or illness.
- TCS’ PFML solution is helping states meet their unique requirements and serve constituents with consumer-grade digital experiences.
- The integrated, holistic, cloud-based solution is capable of handling all facets of a PFML program with ease.
On this page
Overview
TCS is empowering US state governments through purpose-built Paid Family and Medical Leave (PFML) technology and administration services.
Paid Family and Medical Leave (PFML) is a program that provides paid benefits to individuals needing time off for critical life events such as medical emergencies, bonding with a new child, or caring for a family member faced with medical issues. Although currently required only in eleven states, similar legislation is being contemplated by at least 28 other states in the US – a trend accelerated by the COVID-19 pandemic.
Challenge
As more states consider adopting PFML programs to support workers and their families, PFML’s unique nature has become increasingly apparent.
No two states are exactly alike, which gives states the flexibility to build a program that meets their constituents’ needs, but it also means there is no template to follow.
While this comes with several challenges, it also means there are numerous opportunities to stand up PFML programs quickly without an onerous technology burden, resulting in an effective and long-lasting program.
States must respond to new laws, policies, economic drivers, and changing constituent expectations.
With the increasing adoption of PFML programs, states have an opportunity to support workers and their families during crucial life events, helping people remain in the workforce when they need time off for family or medical care.
TCS has developed a new platform tailored to PFML’s unique requirements, with the ability to customize for each state’s specific needs. Developed by experts in PFML, this perpetually adaptive solution helps states respond rapidly to ever-evolving requirements and serve people with the equitable, inclusive, consumer-grade experience they expect.
Solution
TCS offers technology solutions and program administration services to support states in implementing and administering PFML programs.
TCS’ PFML platform is tailored to PFML’s unique requirements and allows states to customize for their specific laws and needs.
The integrated, holistic, cloud-based solution is capable of handling all facets of a PFML program, including:
Tax collection
Eligibility determination
Case management and appeals
Benefits distribution
Audits
Financial accounting
Fraud prevention
FedRAMP certification
The solution allows for seven-day initial decision timeliness and 30 days for claims.
TCS also offers program administration services, allowing agencies to implement a PFML program quickly with knowledgeable staff to support end-to-end program administration. Trained staff are ready to perform premiums collection activities, claims intake, and adjudication support.
Benefits
TCS’ purpose-built PFML solution and support services help to ease a state’s implementation and administration of a new PFML program.
Key benefits include:
Purpose-built for PFML: TCS’ modern, cloud-based solution is tailored to PFML requirements and designed for quick implementation. The system is designed with critical functions built-in, providing 80-90% compliance out-of-the-box.
Configurable and flexible: The solution is easy to customize and can meet diverse state and federal requirements. States can configure the leave types, and the system can integrate seamlessly with other systems, such as unemployment insurance.
Efficiency: With artificial intelligence and machine learning-led automation, there is a significant reduction in time and effort agency staff need to invest in manual or repetitive processes, freeing up the workforce for higher-value activities and reducing the overall cost of operations.
Fraud prevention and security: TCS’ solution continuously monitors, identifies, and prevents fraudulent activity. It can integrate with third-party identity verification tools to help prevent fraudulent payments.
Intuitive and easy-to-use: Designed to provide an accessible, equitable, and easy-to-navigate user experience, the system guides the user on what information and which documents to submit as they fill out the claim, increasing response accuracy and reducing confusion.
Effective decision-making: Built-in business intelligence reporting provides data-driven insights, including sentiment analysis, trend plotting, configurable dashboards, and what-if analytics.