Solutions: System Maintenance and Upgrade for Healthcare Provider

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One of the nation’s largest health insurers is focused on continuously building an industry-defining, world-class IT capability to benefit customers and employees.


Purpose

The insurer performed health checks and realized they were in need of account maintenance in order to avoid potential poor performing accounts that could affect customers, the financial department, as well as the claims department. These potential problem accounts could result in billing issues and a loss of money, as well as claims not being processed correctly. To ensure clean data across the system they created a project to update all accounts and were in need of a Systems Analyst to spearhead this initiative.

Process

Solving IT identified a Senior Systems Analyst who specialized in the healthcare market. She began working on a Statement of Work to assist the client during their busy open enrollment period. She was supporting the Membership and Billing System where she helped the business users streamline the account setup and renewals and helped debug and resolve issues as they arose.  Our Senior Systems Analyst documented and transferred knowledge to the existing team to ensure they would be able to support the accounts properly moving forward. She provided strategic guidance to alleviate potential bottlenecks, as well as documented knowledge transfer.

Results

Due to the maintenance Solving IT’s consultant provided, the client was able to clean up major accounts which resulted in increased account performance. Because of the work she provided, the client hit their Performance Guarantee which saved the company money and increased overall customer satisfaction.

 

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