Customer Overview

The customer is an Indian organization, founded in 2013 through a collaboration of five public-sector non-life insurance companies. This entity functions as a third-party administrator, dedicated to efficiently managing cashless and reimbursement-based claims for its members.

Challenges for the Customer

  • Slow claims processing: The involvement of multiple stakeholders led to delays in claims processing
  • TPA card tracking issues: The absence of proper tools to track TPA cards caused mismanagement and impacted user experience
  • High error rate: Manual errors in claim adjudication and data entry led to incorrect claims decisions, resulting in losses

How Newgen Helped

The customer selected Newgen’s low-code platform for Contextual Content Services to make information accessible across content-centric processes.

Implementation Impact

  • Settled over 270,000 claims in a year with Intelligent Claims Solution
  • Achieved 80% boost in employee productivity
  • 50% faster claims transaction processing from data entry to approval
  • Ensured 100% regulatory compliance

Read the complete case study to learn more about how the customer achieved tangible benefits.

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