PegaWORLD 2015: Taking the Next Step in Claims Automation at Anthem (Presentation)

After realizing substantial gains in auto-adjudication rates from leveraging Pega’s Claims Repair, Anthem deployed Pega’s Claims Workstation+ (CWS) for even greater claims efficiencies. Hear how Anthem approached their initial CWS deployment - which claim types were prioritized, and why; what automation they achieved and how they did it; and, where they plan to go next as they continue to streamline claims processing for better accuracy at lower cost.

Speaker(s):

  • Erin Stick, Manager, Technology, Anthem
  • Amanda Dalton, Manager, Technology, Anthem