Client: $2B Healthcare Payer

Industry: Healthcare

Project Type: Subrogation

Business Issue:  

A $2B healthcare payer sought to improve efficiency in their subrogation department in an effort to reduce the average number of claims open per adjuster, reduce the average claims cycle, increase recovery, reduce costs, and improve customer satisfaction.

Actions:

• Conducted detailed analysis of the subrogation process from claim referral to file close focusing on identifying improvement opportunities
• Developed and implemented recommendations to:

• Streamline the subrogation process
• Reduce costs
• Increase recovery
• Improve efficiency

• Revised the organization structure to promote specialization and core competencies and better support the new subrogation process
• Leveraged technology to automate manually intensive portions of the subrogation process and improve knowledge worker productivity