A regional healthcare plan expanding into new business lines needed to scale claims processing quickly without sacrificing accuracy or cost efficiency. Conduent partnered with the plan to implement scalable staffing, proven training, and 24/7 cross-trained teams to manage Medicare, Medicaid, and commercial claims. Processes were categorized into entry exceptions, pended claims, and reworks to boost auto-adjudication and reduce errors. During the pandemic, Conduent swiftly adapted to new claim types with minimal disruption. Results included annual savings of over $5.4 million, a fivefold increase in processing capacity to 3.3 million claims per year, and 100 percent compliance with turnaround standards.

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