BENEFITS PLATFORM TRANSFORMATION DRIVES 50% FASTER CLAIMS PROCESSING

THE CLIENT

One of the fastest growing health benefits companies globally.

BUSINESS CHALLENGE

The client’s legacy platform caused unmet promises, hidden transaction costs, and limited flexibility, leading to inefficiencies, higher costs, and slow innovation. These gaps not only eroded trust but also created operational inefficiencies and increased costs, pushing the client to seek a reliable and scalable alternative.

THE SOLUTION

The client chose Mphasis Javelina® Benefit Administration System to regain control over its operations and accelerate its growth strategy. This platform offered:

Comprehensive Coverage: Core functions including Claims Administration, Claim Payment, Financial Management, Member & Provider Management, Benefit Setup, and Billing.
Transparent Pricing: No hidden transactional charges, with clear, predictable cost models.
Seamless Integration: Open API ecosystem enabling smooth connectivity with Utilization Management, Provider Services, and Reinsurance tracking systems.
Flexibility & Adaptability: Configurable architecture designed to evolve with business needs.

BUSINESS BENEFITS

The transition to the Mphasis Javelina® platform helped the client achieve:

Cost Savings: Elimination of unpredictable transaction fees, resulting in 30-40% projected reduction in administration costs over three years.

Improved Efficiency: Auto-adjudication and streamlined workflows drove a 50%+ improvement in claims processing speed within weeks.

Business Agility: The new platform allowed the client to rapidly introduce new benefit designs and products.

Trust & Transparency: A clear pricing model and a proven technology partner restored confidence in the client’s transformation journey.