Case Study: LTCG modernizes claims management with Sparkling Logic SMARTS

LTCG automates 80% of claims decisions with Sparkling Logic

LTCG, a leading provider of business process outsourcing services for the insurance industry, embarked on an initiative to modernize its claims management systems. Their challenge was to reduce the time to respond to claims and improve accuracy while providing the best customer experience, all while managing the complexity of non-standard long-term care insurance policies. To solve this, LTCG selected Sparkling Logic and implemented its SMARTS decision engine.

The solution from Sparkling Logic automated the claims adjudication process, allowing LTCG to develop and deploy their new system in under six months. The implementation resulted in 80% of claims being fully automated, which ensured prompt and accurate decisions, increased customer satisfaction, and allowed adjudicators to focus on complex cases. Sparkling Logic's SMARTS also provided the business agility to rapidly onboard new insurers and adapt to regulatory changes.

LTCG