Independent Insurance Claims Management company optimizes Claims and Administration processes

Client Success

An Independent Insurance Claims Management company optimizes Claims and Administration processes

Comprehensive claims and administration solution results in 22% cost reduction over 3 years.

Challenges

One of the world’s largest Third Party Administrators (TPA) needed to transform their claims and administration processes to both reduce costs and improve customer service.

  • Managing risks across claims and losses in multiple locations.
  • Comprehensive data security requirements and service operations control across multiple time zones and locations.
  • Reducing cost and overhead through related to Loss Adjustment, Medical Management and Managed Repairs.

Develop an industry leading data and analytics program to drive service delivery throughout the lifecycle of claims management.

Our comprehensive claims and administration solution, as well as support for Environmental, Health and Safety (EHS) claims included an integrated risk management platform with following capabilities:

  • Claims Self Administration
  • Environmental, Health and Safety
  • Dashboard & Analytics
  • Metrics and Calculations
  • Reporting
  • Risk Lifecycle Management

Delivered via a secure off-shore development center (ODC) with physical and network isolation, and flexible operating hours to connect with clients in different time zones.

Engaged experienced critical resources to reduce time and risk for knowledge transfer, providing 24/6 production support for Appian ecosystem.

Outcomes

The client partnered with Persistent for Digital Transformation to achieve SLA improvement, predictable performance, Year over Year (YoY) productivity improvement resulting in cost saving.

The client was able to better forecast loss for its carriers by providing integrated reporting features with scheduling options depending on business needs, integrated business intelligence reporting and ad-hoc analytics for effective risk tracking.

Continuous Optimization

22% cost optimization in 3 yrs. Value Stream Mapping & Technology initiatives for continuous improvement.

100% SLA Adherence

Strong focus on application uptime with 24*6 support.

Managed Services Model

100% ownership of application development maintenance & support. QA COE and application clusters for optimized team structure.

Application Modernization & Rationalization

Classification of application portfolio based on business value & Execution of Upgrade / Re-arch Consolidation roadmap.

Partners Involved

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    You can also email us directly at info@persistent.com

    You can also email us directly at info@persistent.com