Ireland Health Insurer Creates Faster Claims Processing

Client: Vhi Insurance, largest health insurer in Ireland.

Challenge: With the proliferation of products in the Irish health insurance market, Vhi needed a flexible and agile claims system to automate claims adjudication and processing, and enable business owners to develop the logic and adjust the system as needed.

Solution: FICO® Blaze Advisor® decision rules management system.

Results: By using Blaze Advisor to manage claims decisions across the enterprise, Vhi has automated claims processing, reduced fraud and significantly increased operational efficiency.