Experience

About Expedien

Expedien's Data Strategy Services Unlock the Business Value in Your Data

  • We focus exclusively on Business Intelligence(BI), Big Data(BD) Analytics and Enterprise Data Management (EDM) services.
  • Our Business Value(BV) methodologies BV-EDM™, BV-BI™ and BV-BD™ methodologies align your data strategy with your business goals.
  • Our approach is business centric, tool agnostic and business process oriented.

Data Migration, Data Integration, Business Intelligence Solution for a Large Health Insurance Company.

  • The client is a health insurance company operating in the United States with more than $16 B in annual revenue and serving more than 50 million customers. The client needed to have an Enterprise Data Management solution to gain a better insight into their KPIs. They also needed the consolidation and migration of their 50+ year old disparate legacy systems to be configured into a new ERP system. The insurer's decision to tap the skilled resources, proven tools and methodologies of Expedien's delivery model resulted in the successful completion of the project and a significant cost saving in their total output.

  • Key Challenges

    • Several Disparate Legacy Systems.
    • Data silos and a lack of data made monitoring, tracking, and preventing fraudulent claim activity impossible.
    • The inability of the actuary department to easily analyze enterprise data made the design and launch dates of new insurance plans lapse.
    • Challenges in meeting regulatory & compliance reporting dates.
    • Significantly reduced productivity and increased customer dissatisfaction.
    • New Health Care Industry legislation and regulations created additional overhead to maintain various systems and changes. The time required to implement any new rules or regulations was very high.
    • The average number of days to process a claim was close to two (2) weeks.
    • Rapid growth in membership and changes required more robust systems to compete with other firms and to provide easy access, and quick responding solutions to membership needs.
    • No standard Document Management methodology to manage outbound documents.

    Implementation Highlights

    • One Company, One Answer from One Source was the slogan and goal the company wanted to achieve.
    • Enterprise data health assessment was performed followed-up with data enrichment and data quality processes to greatly improve the consistency, quality, and usefulness of the data.
    • Implementation and migration (conversion) of data from legacy systems to the new enterprise was carried out in a phased manner using state of the art data migration frameworks and methodologies and best practices.
    • Data integration from various back end system was carried out both for business continuity and ongoing operations.
    • Enterprise Data Warehouse and Business Intelligence systems were designed and implemented.
    • Executive & Operations dashboards were deployed based on business defined metrics and KPIs.

    Benefits

    • Claims costs were reduced by 40%, Claims processing time was reduced by 50% resulting into increased ROI. The go-to-market goal was accomplished with no delay in launching new plans, and significantly improved customer satisfaction and cost savings.
    • Bringing all member companies into a single ERP system has simplified and greatly reduced the time necessary to perform day-to-day data analysis activities. Available data/information is more timely and of higher quality.
    • The benefits, messages, cost, letter and billing provided to customers across different states became uniform and aligned.
    • IT costs to implement legislative mandates were reduced because of only one enterprise system compared to many different legacy systems.

    Expedien Differentiation

    • Expedien has proven Enterprise Data Management and Performance Management expertise.
    • Expedien has developed best practices, and a proven methodology and framework that assists in bridging the gap among multiple systems, process and business users, bringing all business units into a single system and business process.
    • Expedien has a good understanding of business process in the health Insurance vertical.

Our Assurance

Reduce costs, enable new business capabilities and drive continuous process improvements.

  • We believe that for us to succeed in meeting your goals, we must be a strategic business partner providing strategic advice and relying on analytical objectivity and deep domain expertise around a set of value-add consulting services.
  • As a trusted advisor, we bring significant impact to your businesses as a partner in transformational initiatives.
  • As expert implementers, we proactively deliver the benefits of innovation, bringing you the best talent for your needs regardless of where they or you are located.
The Expedien Difference

It's in our DNA. Placing our clients first is embedded in the Expedien culture. By investing in our people and resources, we bring new ideas and innovation to help you succeed in a changing business environment.