Claims management for a health insurer in the UK

By
Qantev team
July 25, 2024
4 min
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Qantev helps one of the top 10 Health insurers streamline their claims management process

This insurer is a leading UK financial services company, offering a wide range of insurance and savings products. They serve millions of customers with services including life, health, and general insurance, as well as pensions and investments. They have chosen the Qantev platform to streamline their health and life claims processes.

The challenge

The insurer is facing challenges in order to reach its ambitions, mainly caused by the reliance on non-flexible legacy systems, causing processes to be manual.

  • Large majority of claims processed manually
  • Lengthy claims turnaround time
  • 7% estimated leakage from fraud, waste and abuse
  • Impacted by medical inflation

The solution

They have chosen to adopt the Qantev platform to overcome their challenges and set the stage for their digital transformation, fully deployed and operation within 6 months

  • Deployment of the Qantev claims management module 
  • Deployment of  the Qantev fraud, waste and abuse  module
  • Deployment of the Qantev OCR & data acquisition module

Key results

Qantev has enabled this insurer some rapid and tangible business results

  • 35% straight through processing rate achieved in 12 months
  • 90% of data acquisition processes automated
  • 2% reduction of leakage after 6 months
  • 40% reduction of the average turnaround time
  • ‍Positive ROI after 4 months of production

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