Case Study: a major health insurer reduces claims cycle time with Conduent's intelligent claims processing

A health insurer needed more intelligent claims processing. We brought our IQ to the table

A leading health insurer faced the significant challenge of overhauling its inefficient claims processing system. The insurer needed to ramp up to processing over 250,000 claims per week within an aggressive 75-day timeframe and sought to increase the number of auto-adjudicated claims. To meet this challenge, they partnered with Conduent.

Conduent established a new facility and implemented a comprehensive solution featuring Intelligent Queue (IQ) technology. This process used skilled personnel to cleanse claim data, which dramatically reduced rework. The solution delivered a 75% reduction in processing cycle time, cutting it from 10 days to just 60 hours, and improved auto-adjudication rates from 30% to 80%, generating significant annual cost savings for the insurer.