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WNS Named a ‘Leader’ in NelsonHall Healthcare Payer Agility & Innovation 2026 NEAT

Read | Jan 23, 2026

AUTHOR(s)

NelsonHall NEAT

NelsonHall Leader Badge

NelsonHall has named WNS, part of Capgemini, a 'Leader' in the Healthcare Payer Agility & Innovation 2026 NEAT for the Overall market segment. This recognition reflects WNS' ability to deliver immediate operational benefits to healthcare payers while demonstrating a strong capability to meet future client requirements across claims, Utilization Management (UM), member and provider services and platform-enabled operations.

In its evaluation, NelsonHall highlights WNS' focus on automation, analytics and platform-enabled healthcare payer operations, alongside continued investments in Gen AI-powered workflows, Business Process-as-a-Service (BPaaS) models and outcome-based commercial constructs aligned to payer priorities around cost containment, compliance and operational agility.

Why NelsonHall Named WNS a Leader in Healthcare Payer Agility

NelsonHall identifies WNS as a Leader based on its strong relative performance across both NEAT dimensions:

Ability to Deliver Immediate Benefit
  • Automation across claims administration and payment integrity to reduce manual touchpoints and improve accuracy
  • Workflow and analytics layers that shorten turnaround times and reduce rework
  • Demonstrated delivery impact across claims, member and provider operations
Ability to Meet Future Client Requirements
  • Continued investment in Gen AI and Agentic AI powered workflow and decision automation
  • Expansion of delegated and non-delegated UM services
  • Development of configurable, API-first BPaaS models with outcome-based constructs
What This Recognition Means for Healthcare Payers

For healthcare payers seeking to balance immediate operational improvement with future-ready transformation, NelsonHall's evaluation positions WNS as a partner capable of:

  • Delivering measurable near-term benefits without destabilizing core systems
  • Scaling innovation responsibly through controlled, compliant Gen AI and Agentic AI deployments
  • Supporting outcome-driven transformation through platform-enabled, modular service models
NelsonHall Healthcare Payer Agility & Innovation NEAT 2026

WNS Healthcare Payer Capabilities Across Claims, Members & Providers

NelsonHall highlights WNS' end-to-end healthcare payer services spanning:

  • Claims management and administration, including early accuracy checks and recovery workflows
  • Member services and engagement, supported by unified platforms to reduce duplication and silos
  • Provider management and network administration, including AI / NLP-enabled data quality and synchronization
  • Quality, risk and performance management, leveraging analytics to improve risk scoring and compliance
  • Platform-enabled healthcare payer operations, including electronic data interchange routing and integration support to reduce errors and delays

Proprietary platforms such as ClaimsTRAC, Consult, Next Gen Audit IQ, KnowRA+ and Agent Assist underpin automation across prior authorization, audit and recovery, clinical summarization and contact center support.

How WNS Delivers Agility and Innovation for Healthcare Payers

NelsonHall highlights WNS' 2025-2026 strategic roadmap, which focuses on:

  • Scaling Gen AI-powered workflow automation for claims, UM and benefit administration
  • Expanding clinical and delegated UM services, embedding diagnosis-related group reviews, care pathways and genetic testing modules
  • Advancing BPaaS delivery models, enabling modular, plug-and-play deployment across payer functions
  • Strengthening interoperability, including Fast Healthcare Interoperability Resources (FHIR)-enabled integration and API-first architectures

Download the Full NelsonHall Healthcare Payer Agility & Innovation 2026 NEAT

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Related To: Healthcare BPO