Insurers Can Automate Claims Settlement Process with eAdjudicator
The Industry Challenge
The claims settlement process for insurers is often severely affected by delays, revenue leakages and frauds, thus rendering it highly ineffective. One of our top Health Insurance clients faced a similar challenge.
How eAdjudicator Helps
WNS’ eAdjudicator tool automates the adjudication process to help insurers expedite their claims settlement process, while reducing the possibility of revenue leakages and frauds. This tool consists of a set of built-in rule-library based codes, for several complex scenarios, especially for exceptions.
eAdjudicator enables a client to automate its claims settlement process and derive the following benefits:
- Improve productivity significantly. eAdjudicator ensured a potential productivity gain of 50 percent for one of our Health Insurance clients
- Reduce revenue leakage by eliminating the possibility of erroneous processing through automation of manual processes