Case Study
Empowering Claims Processing with a New User Experience
Revitalizing an Out-of-Date Application The Company provides and administers healthcare benefit plans that serve a variety of US market segments. The Company’s business unit responsible for healthcare claims processing was burdened by a largely manual adjudication process. It relied on a mainframe-based green screen application that had been in use for more than 20 years. In the insurance industry, managing claims using web-based interfaces is the standard. The Company’s aged green screen technology creates substantial difficulties in finding and hiring claims examiners. Few prospective employees possess the skills necessary to use the out-of-date tools that support the Company’s adjudication process. It takes as long as nine months to fully train new claims examiners in the us