Case Study: Leading Health Insurer Services Providing Company achieves $12M annual savings and cuts $22M in commission overpayments with Optymyze

Company with Large Producer Force Cuts Commission Overpayments by $22 Million

A leading health insurer serving more than one million members and a distribution network of 2,500 producers was managing commissions with legacy systems and manual processes. The inflexible setup produced strategic misalignment, limited modeling and poor visibility—resulting in inaccurate payments (about $11 million overpaid per year), degraded producer relationships, delayed and uninformative reports, and a costly support team to handle commission inquiries.

Optymyze redesigned and automated the commission-management process, implemented a performance-aligned compensation plan, and delivered comprehensive, multi-dimensional reporting and modeling tools. The solution saved $5 million in the first six months and is projected to save $12 million annually (ROI >400%), dramatically reduced producer inquiries, improved managerial visibility into plan effectiveness, and enabled fast, low-risk plan changes through impact modeling.