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“INSURING” Back-office automation success for a U.S. Health Insurance Company

ABOUT

In the services delivery market, providing value-add in a transformative way is absolutely critical. Hinduja Global Solutions (HGS), a subsidiary of the multi-billion-dollar Hinduja Group, uses automation to provide transformative services. After testing multiple robotic process automation (RPA) solutions, HGS selected Automation Anywhere for its ease of deployment and its organizational design fit with its client application architecture.

HGS implemented a proof of concept (POC) to automate several back-office processes for this U.S. health insurance company, one of its largest clients. Upon a very successful POC, Automation Anywhere was selected for various other clients within its portfolio.

40+%

Productivity Improvement

40+%

Cost Savings

90+%

Reduction in Manual Labor

THE SOLUTION

HGS established a Center of Excellence (COE) to realize its internal vision of investment value derived from automation. The AutomationAnywhere team worked within the COE to develop the desired proof of concept solution, and to train HGS COE team members on best practices.

THE WHOLE STORY

HGS has automated several key processes for this insurance company, including:

Member Enrollment Process
Previously, 90 percent of the member enrollment data had to be manually keyed into 12 different product lines toggled between 20 different screens in multiple applications. Each enrollment could take 15 minutes to complete, and quality was suffering—80 percent of errors occurred during the manual entry process.HGS implemented Automation Anywhere in a two-step solution: leveraging the built-in rules engine by converting the XML data into a complete electronic application and enabling seamless business validation and data entry from the electronic enrollment applications into the system.

Commercial Claims Testing Audit
This audit, which tests specific claims scenarios on more than 150 bundled claims, is highly tedious, repetitive, and, at five minutes to test just one claim, very time-consuming. HGS implemented Automation Anywhere in two phases: first, to automate the screen capture process, and second, to automate the claims testing process.

Healthcare Product Build
Building a health package under a given insurance plan is highly time intensive, taking up to 22 hours for each package. HGS designed a three-phase solution utilizing Automation Anywhere. In the Build phase, Automation Anywhere Bots collect all required information from various spreadsheets. In the Validation phase, Bots match business rules, validate line items, and enter details in the client application. In the final phase, the Bots update the client application.

The Benefits and Improvements
Automating several of the most time-consuming, manually intensive, and error-prone processes has enabled HGS to deliver significant added value to this U.S. healthcare insurer’s back-office environment.

THE RESULTS

Member Enrollment

  • Average handling time per enrollment reduced from 15 minutes to 10 1⁄2 minutes
  • Quality improved, reaching 99.97 percent
  • Productivity improved by 30 percent

Commercial Claims Testing Audit

  • Manual effort reduced by over 90 percent
  • Average handling time reduced by more than 40 percent
  • Improved efficiency, with cost savings of greater than 35 percent

Healthcare Product Build

  • Average handling time reduced by 30 percent
  • Enhanced efficiency, with cost savings of more than 40 percent

FIND OUT WHY THOUSANDS OF CUSTOMERS CHOSE AUTOMATION ANYWHERE

CUSTOMERS LOVE AUTOMATION ANYWHERE, BUT DON’T JUST TAKE OUR WORD FOR IT

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