Oliver Wyman June 26, 2024
Insurers face persistent challenges like claims administration and managing contact center costs. Generative AI offers opportunities to simplify workflows.
Many health plans still struggle with persistent operational challenges, from streamlining claims administration to controlling contact center costs while improving member engagement. Generative AI can make a bottom-line impact on these and other processes. The technology’s capabilities, especially natural language understanding and the ability to create original content, can help payers develop new solutions for perennial problem areas. Here’s a sampling of use cases where applying generative AI can make a tangible difference today.
Faster claims adjudication and accurate reimbursement. While a core administrative platform may improve auto-adjudication rates, a generative AI copilot can help adjudicators quickly handle pended, outlier claims....
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