Case Study: US-Based Healthcare Insurance Company achieves 10,000+ transactions processed and significant backlog reduction with EdgeVerve's AssistEdge RPA

AssistEdge RPA helps a large US based Healthcare Insurance company process over 10,000 transactions, significantly reducing backlogs

US-Based Healthcare Insurance Company, which serves millions with medical, pharmaceutical, dental, Medicare/Medicaid and behavioral health plans, faced long claim cycle times, complex manual steps and rising human errors that created a backlog of roughly 70,000 records. To streamline claims processing and improve customer satisfaction, the customer engaged EdgeVerve and its AssistEdge RPA platform.

EdgeVerve deployed AssistEdge BOTs to automate more than 25 core rules and replace repetitive, rules-based tasks; the automation processed over 10,000 transactions, materially reduced the backlog and cut human error, improving service quality and enabling the operations team to scale. EdgeVerve’s cross-functional bots also increased ROI by handling multiple tasks and accelerating claim settlement.