IBM
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A IBM Case Study
Anadolu Anonim Türk Sigorta Şirketi, a major Turkish insurer, was struggling with claims leakage and slow, inconsistent health claims processing in a fast-changing market. To address this, the company worked with IBM and IBM Business Partner JFORCE Bilisim Teknolojileri A.S. to build an automated health claims platform using IBM Business Automation Workflow and related IBM tools.
IBM helped implement the ASMED portal, which automates claim investigation, review, and payment against thousands of rules in under a second while flagging suspicious cases for staff review. The results were significant: about 80% of claims are now processed automatically, leakage fell by 50%, operations costs dropped by 40%, and the project delivered full ROI in under one year.
Mehmet Abaci
Chief Information Officer