Case Study: Big Health Insuring Company achieves 89% reduction in reconciliation hours and 86% faster onboarding with Cognizant

Insurance Automation Is the Antidote for the Pain of Data Issues

Cognizant helped a large health insurer that was losing customer trust and risking a major employer account after an out-of-sync claims engine produced incorrect or unpaid member claims. Manual reconciliation was slow and error-prone, disrupting member service and blocking efficient onboarding of new client accounts.

Cognizant built automation tools to quickly identify, correct and resubmit affected transactions, reconcile demographic mismatches, and synchronize shared accumulator data across multiple claims engines. The solution cut workforce hours for reconciliation by 89%, reduced new-account onboarding time by 86%, improved claims adjudication accuracy by 10%, and drove better customer retention and satisfaction.