Driving Cloud Transformation in Health Insurance
Modernizing infrastructure and data systems to streamline claims and empower executives with real-time insights.
Client Type
Multi-State Health System
The Challenge
- Fragmented claims data across multiple systems.
- Weeks-long turnaround times and high administrative costs.
- Outdated infrastructure with limited resilience.
- Lack of real-time executive reporting.
Our Solution
Data Warehousing 路 Claims Automation 路 Cloud Migration 路 Executive Analytics
- Built a centralized Microsoft SQL Server data warehouse integrating 10+ years of claims data.
- Modernized storage, compute, and disaster recovery systems.
- Automated claims processes with Microsoft technologies, enabling auto-adjudication.
- Delivered real-time Power BI dashboards for leadership.
- Strengthened governance and compliance frameworks.
Results & Impact
- 40% of preventive care claims auto-adjudicated.
- Claims turnaround times reduced from weeks to days.
- Lower administrative costs and increased staff efficiency.
- Executives gained real-time visibility for improved decision-making.
- Scalable, cost-effective IT environment positioned for long-term growth.