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Insurance

Driving Cloud Transformation in Health Insurance

We modernized infrastructure and claims data systems to streamline turnaround times and give leadership real-time reporting. The result was a faster, more resilient operating model with automated claims handling, lower administrative drag, and stronger executive visibility.

Data WarehousingClaims AutomationCloud MigrationExecutive Analytics

Industry

Insurance

Client

A multi-state health system operating complex claims workflows

Engagement

Cloud modernization, claims workflow transformation, and data consolidation

Outcome

Preventive care claims now auto-adjudicate at scale, and turnaround time dropped from weeks to days

The Challenge

Claims teams were working across legacy infrastructure, fragmented rules, and more than 10 years of historic data that was difficult to access in one place. Every process improvement effort was slowed down by the shape of the underlying systems.

Leadership needed a faster claims engine, better operating visibility, and a cleaner foundation for future automation without losing continuity in the day-to-day work of the team.

What We Built

  • Modernized the claims processing architecture for cloud-native operation and easier change management.
  • Consolidated more than a decade of historic claims data into a unified warehouse for reporting and decision support.
  • Introduced rules-based automation for preventive care claims so low-friction cases could move without manual touch.
  • Created executive analytics views that surfaced throughput, turnaround, and exception patterns in one operating layer.

What Changed

  • Preventive care claims began auto-adjudicating at material volume instead of waiting on manual review.
  • Claims turnaround compressed from weeks to days for the targeted workflow.
  • Leaders gained a clearer operating view of claims performance and backlog drivers.

Stack

Cloud modernizationClaims workflow automationEnterprise data warehousingExecutive analytics

Next step

Working around a legacy operational system that still runs your day?

We can map the workflow, tell you whether this pattern fits your operation, and outline what a first delivery slice would look like.

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