Boost in Automation Unlocks $2M in Cost Savings for Global Health Insurer

A global leader in the healthcare space, the client offers managed care products and services to individuals and communities across the world. As part of its digital transformation, the organization sought to streamline its claims processing systems, improve regulatory compliance, and elevate testing efficiency. However, they were constrained by fragmented quality engineering (QE) efforts, outdated processes, and high operational overhead. Initially, automation penetration stood at just 5%, making testing highly manual and error-prone. Less than 5% data coverage in key areas limited test reliability, and the lack of unified QE efforts across programs led to redundancies. Moreover, the organization needed to align with Centers for Medicare & Medicaid Services (CMS) regulations, which added urgency to modernize claims infrastructure.