Meet Amir.

As a payer’s claims manager, he knew he was in for a long month when the organization’s finances went into review. From claim overpayments to excess funds left for monthly claims, budgeting had been left unoptimized for too long.

How did he tackle the operations behind the payer’s finances?

They went big with Big Data.

With Infosys, the payer created concepts for identifying overpayments from all potential scenarios, ensuring that they were able to detect any provider fraud early. Aided by a 96% accuracy leap in predicting monthly reserve needs, Amir was able to identify $11 million worth of claim overpayments saving them from even greater losses in the long run.

Now, Amir manages the payer’s finances with a firm hand allowing the payer to navigate claims processing with optimized ease, thanks to Infosys.

Discover how Infosys developed data pipelines enabling the payer to uncover operational efficiencies.

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