Case Study: a large national health plan achieves $42M in annual recovery savings with EXL Subrogation Services

Subrogation services generate significant recovery savings

EXL worked with a large national health plan that needed support for other party liability (OPL) programs across multiple lines of business and acquired entities. The customer was looking for help with growing case volumes, staffing support for in-house OPL processes, predictive analytics to improve case identification and prioritization, and more flexible reporting.

EXL Health’s Subrogation solution combined advanced analytics, proprietary models, an OPL technology platform, and legal investigation and case management expertise to support co-sourced and fully outsourced programs. The approach also included member outreach, mail room and call center operations, and flexible reporting, helping drive $42M in annual recovery savings and supporting an expanded program scope after quality performance metrics were exceeded.