3 mins read
Helping India’s Leading Insurance provider to reduce claims by introducing an end to end telemedicine application which results 30% claim reduction
Healthcare
Client Overview
Our client, a leading insurance provider, sought to reduce claim volumes and costs while improving policyholder engagement and promoting preventive care.
Their vision was to build a comprehensive digital ecosystem that promotes preventive care, enhances operational efficiency, and ensures policyholder satisfaction
1.3 m
Users
0.5 m
Active Users
0.3 m
New Downloads
User Stories
Key BPMN
Tech Scope
What we did
Design
Design
Maze
Figma
Engineering
Engineering
Trymata
Adobe
Userbob
Miro
Maze
Figma
The Problem
1
High Claim Volume
A significant portion of claims stemmed from preventable health issues due to the lack of timely interventions or awareness.
2
Lack of Preventive Care
Existing systems prioritized claim management rather than empowering policyholders to proactively manage their health.
3
Escalating Administrative Costs
Manual claim processing and the need for coordination between hospitals, doctors, and policyholders led to higher operational expenses and inefficiencies.
4
No Consultation platform
No integrated digital consultation platform exists to mitigate unnecessary treatments and interventions in hospital settings.
Our Solution
1
Integrated Digital Consultation Platform
- Seamlessly connects patients with doctors for in-person, online, or home consultations.
- Reduces unnecessary treatments by providing timely and accurate medical advice.
2
Preventive Care Features
- Auto vitals capture using wearables for early disease detection
- Wellness programs and health education to raise awareness and promote healthy lifestyles.
Our Solution
Integrated Digital Consultation Platform
Preventive Care Features
360° Patient Profiles
Simplified Claim Management
Hospital Digitalization
Medicine and Lab Orders
Branding and Engagement
Results
Reduced Insurance Claims
30%
drop in overall claims volume with Preventive health tracking and policy-aligned features
Increased Policyholder Engagement
47%
positive feedback score on user satisfaction, thanks to convenience and transparency
Increased User Engagement
3k+
hospitals, 20,000 doctors & 1,500 labs were successfully onboarded, ensuring widespread accessibility.
Operational Cost Efficiency
40%
reduced claim processing cost through automation and digital workflows.
Over all, Increased user satisfaction with 92% positive feedback.
Results
FEATURES
Product Redesign
Capabilities
- Application branding modernisation and experience improvisation
- User-friendly interfaces and consistent branding
Impact
- Increased user engagement by 30% and retention by 89%, enhancing trust and loyalty
- Improved conversion in major flows
Before
After
Policyholder-Centric Digital Platform
- Claim registration and real-time tracking.
- Digital reimbursement and intuitive dashboards
- Defined work flow for users and dynamic workflow for claim approval
- Simplified claim management with 92% user satisfaction.
- Reduced 50% user hustle and time for settlement
Hospital Digitalization
- Automated workflows for empanelment, claims, and consultations.
- Reduced manual intervention
- End to end digitalisation from attendance management to stocks and assets to patients
- Onboarded 3,000 hospitals and 8000 doctors reducing costs and approval delays.
Preventive Care Initiatives
- Wellness programs, vitals tracking via wearables.
- Automated health alerts and early risk detection tools.
- Wellness plan and programs to increase health awareness
- Reduced claims volume by 8%, in first year itself.
- Improve living
- Projected to reduce 50% in 10 years
360° Digital Patient Profiles
- Comprehensive history, family health records, and past treatments.
- Actionable insights for doctors.
- Unified platform for very members in a family with multi user access
- Improved consultation quality and decision-making
- Quick analysis of own and family medical history
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