Case Study: LTCG achieves faster, more accurate claims adjudication with Sparkling Logic SMARTS

LTCG modernizes Claims Management with Sparkling Logic SMARTS

LTCG, a leading business process outsourcing provider for the insurance industry, set out to modernize its claims management operations to reduce claim response times, improve customer experience, and handle complex long-term care policies more efficiently. To support this effort, LTCG selected Sparkling Logic’s SMARTS decision engine for its claims adjudication system.

With Sparkling Logic SMARTS, LTCG built and deployed an automated claims adjudication solution in under six months, using business rules managed by its analysts. The system helped LTCG automate up to 80% of claims recommendations, improve speed and accuracy, increase agility for regulatory and business changes, and enable adjudicators to focus on more complex cases while supporting a consistent, high-touch claims process.

LTCG