Insurance Case Studies

Outsourced Services Solutions

Claims Processing

Leading Insurance Carriers and third party administrators leverage Haley to reduce claim leakage, claims operations costs, and provide timely and high quality policy holder service.

Haley solutions can help you:

  • Increase your claims adjudication STP percentage reducing operating costs and improving timeliness of claim response.
  • Apply consistent decision making across claims function reducing leakage and improving quality of response.
  • Make changes more rapidly to claims policies and rules reflecting latest corporate-wide learnings.
  • Rapidly and thoroughly detect claim fraud patterns.
Origination & Underwriting

Leading insurance carriers and third party administrators leverage Haley to make new policy origination and underwriting decisions more rapidly and at a lower cost of operations while avoiding "premium" leakage, assuming adverse risk, and avoiding fraud.

Haley solutions can help you:

  • Decrease time required to process loan requests.
  • Reduce operating and coordinating costs across multiple origination channels (including online).
  • More rapidly introduce new and change existing mortgage products by modifying origination policies rapidly across all channels.
Pre-authorization

Leading insurance providers use Haley to tell policy holders which treatments they are eligible to receive before treatment is provided. This service enables provides to rapidly convey accurate policy coverage information across multiple communication channels including web, automated phone response, and agent networks.

By using Haley solutions, you can:

  • Provide 24/7 automated, self-service pre-authorization guidance to policy holders improving quality of service and reducing customer and agent support costs.
  • Reduce cost of maintaining pre-authorization information against individual and group policy details.
  • Reduce probability of providing erroneous pre-authorization information to policy holders that result in subsequent claims dispute.
Billing Operations

Leading insurance providers and third party administrators use Haley to enhance their billing operations capabilities and to improve accuracy, customer service, and internal operating efficiency.

Haley solutions can help you:

  • More rapidly process accounts to improve cash flow and reduce overall billing costs.
  • Reduce operating costs while increasing the billing speed by realizing higher Straight through Processing (STP) percentage.
  • Enable consistent decision making rules to leverage expertise and knowledge to reduce billing errors.
  • Make billing policy changes more rapidly across your entire organization.
Benefits Explanation

Leading insurance carriers and third party service providers are leveraging Haley to clearly illustrate to policy holders and insurance administrators the benefits contained in their policies. In doing so, Insurance providers can increase customer satisfaction and improve sales and operating efficiency across both captive and indirect channels.

Haley solutions can help you:

  • Illustrate and change policy and benefits easily across multiple channels simultaneously to facilitate sales and delivery operations.
  • Automate responses to customer policy questions to decrease response time and improve response accuracy.