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Automation Transforms Claims Processing for a Health Insurer

Explore how WNS helped a US-based insurer leverage end-to-end claims processing automation to prevent backlogs, improve operational efficiency and cut turnaround times.

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Automation Transforms Claims Processing for a Health Insurer

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  1. AUTOMATION HAS TURBOCHARGED OUR CLAIMS MANAGEMENT. A US-based insurer wanted to streamline end-to-end medical claims processing, navigating manual processes, rising costs and volume fluctuations. WNS saw opportunities. We leveraged our expertise in healthcare and insurance as well as our capabilities in automation to co-create an optimal human-digital solution. This included harnessing Optical Character Recognition (OCR) to process paperwork with speed and accuracy. Our workflow automation enabled the effective reconciliation of inventory and billing, and monitored and managed rejections and Turnaround Times (TAT). The system was bolstered by a flexible staffing model and an online reporting system to manage variations in business volumes seamlessly. WNS’ automation-led solution checked aging inventory. The client reduced TAT for claims processing by ~20% and improved operational efficiency by 45%. To learn more, contact us at Healthcare Payer Services | WNS

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