The Challenge
In general, the client of a leading third-party administrator (TPA), formed by the joint venture of major public sector general insurance providers in India. Above all they are looking forward a set of functionalities to handle the control and manage the health insurance claims even more effectively with the technology tools such as business rule engine operations.
• An advanced technology suite in health insurance claims processing
• Alignment of the solution with its corporate vision
• Adopt industry best practices
• Bring in greater efficiency in its core processes
• Enrich customer experience
The Solution
iNube implemented an exclusive insurance broker technology to meet the requirements of the customer.
- Adopted a greenfield development approach of building a new health insurance solution from the ground-up
- Simplified the business processes in a multi-PSU driven health insurance set up
- Digitized provider rates for enhanced service
- Set up business rule engine to even more efficiently tackle the complexity of data
- Sophisticated benefits administration will present as a result
Value Delivered
Lastly, iNube developed an enhanced insurance broker platform significantly to meet the need of the customer.
- Automation of claims handling process with an innovative healthcare claims management software
- Standardized data exchange
- Detected & prevented fraud leakages through an intelligent Business Rule Engine
- The healthcare insurance claim management software ensured quick Turnaround Time (TAT) to consequently acknowledge claim submission & settlement by the time
- Reduced grievances from customers and providers at the present time
