Case Study: Anadolu Anonim Türk Sigorta Şirketi achieves faster, more accurate health claims processing with IBM

How an insurer used automation to gain accuracy without sacrificing speed

Anadolu Anonim Türk Sigorta Şirketi, a leading Turkish insurer, was facing rising claims leakage and inconsistent health claims processing in a fast-changing, highly competitive market. To keep payments accurate without slowing down approvals, the company partnered with IBM and IBM Business Partner JFORCE Bilisim Teknolojileri A.S. to modernize its health claims operations using IBM Business Automation Workflow technology.

IBM and JFORCE implemented the ASMED automated claims portal, which checks submissions against thousands of business rules in under a second and flags suspicious cases for review. The result was roughly 80% of claims processed automatically, a 50% reduction in leakage, a 40% drop in operations costs, and full ROI in less than one year.

Anadolu Anonim Türk Sigorta Şirketi

Mehmet Abaci

Chief Information Officer