A leading health insurer partnered with Newgen to overhaul its manual, document-heavy claims operations and shift to an AI-first, transparent claims ecosystem. The goal was clear—to accelerate settlements, minimize human effort, and provide real-time visibility across the claim lifecycle, aligning with the broader identity of the company as a trusted healthcare partner.
The insurer faced challenges such as manual segregation of multi-claim PDFs and physical files, limited automation, data errors, and complex benefit structures that slowed accurate computation. An AI-driven claims system emerged as the perfect solution.
How Newgen Delivered Efficiency
- AI-led classification of claim documents
- Bulk claim uploads enabled high-volume processing
- Automated adjudication using policy rules and benefit limits
- Real-time dashboards for end-to-end claim visibility
- Automated processing for payouts and reconciliation
Business Impact
- 83% faster claim processing
- Turnaround time reduced from 33 to 18 minutes
- Straight-through processing of 75% claims
- 100% accurate document classification
- Over 80% reduction in manual data entry
Learn how Newgen built a scalable, AI-driven claims platform to deliver speed, transparency, and precision for this leading health insurance provider.
