Claim System Rationalization
Health insurance companies are keenly aware that their future direction and business strategy must be supported by their claims processing system. The processing system is critical to support corporate market and product approach. In today’s environment of mergers and acquisitions, companies are faced with integrating multiple systems. And independent insurance companies must ensure that their systems meet customer and provider demands and align with corporate strategies and budgets.

CTG has in-depth claims processing experience and will provide an independent assessment of your environment. Our objective is to evaluate claims processing platform options to align with business strategy, objectives, marketing, and product direction. This includes analyzing your architectural model and future direction. Through our people, processes, and technology, CTG brings our clients the intellectual capital necessary to leverage IT as a competitive advantage to excel in their markets.

Our approach is to:

• Review business strategy, market and product approach, and key business objectives
• Perform baseline analysis of system platforms’ as-is state and inventory of application portfolio for claim processing
• Document the critical functional capabilities required to support the business strategies
• Identify deficits in the current platform versus critical functional requirements
• Offer high-level recommendations, including viable alternatives and budgetary cost estimates

Client Benefits

• Independent assessment
• Experienced IT professionals
• Extensive claim adjudication experience
• Methodologies and proven approaches
• Knowledge culture and best practices
• Commitment to quality
• In-depth industry and technical knowledge
• Confirmation of a go-to-market strategy
• Rational blueprint for claims system migration
• Focused on key market drivers
• Best value