Case Study: US-Based Healthcare Insurance Company achieves <3% claims error rate and $6M annual savings with EdgeVerve's AssistEdge

American healthcare insurer reduces claims processing error rate to under 3% and saves $ 6Mn annually

US-Based Healthcare Insurance Company, which serves roughly 39 million members, faced fragmented, manual claims and ticket-processing workflows that created a backlog of 70,000 records, rising human errors, slow customer responses and constrained growth. Existing automation efforts were siloed and ineffective, so the insurer engaged EdgeVerve and its AssistEdge Engage platform to simplify, streamline and scale end-to-end automation.

EdgeVerve implemented AssistEdge Engage with a centralized Center of Excellence, deploying 120 cross‑functional bots across six business areas for 5,000 users and automating 80+ processes (250,000 transactions monthly). The program cleared the 70,000-record backlog, cut claims processing errors to under 3%, improved productivity by 7%, saved 170+ FTEs, and delivered roughly $6 million in annual savings with a sub‑one‑year payback.