CASE STUDY

Driving Operational Efficiency: Enhancing Quality and Output for American Life & Annuities Major

About The Client
Client: American Life & Annuities Major | Process /Function: Claims (Health Claims) | Geography: India

The Challenges

The client encountered difficulties in maintaining consistent output and meeting high compliance standards:


Underutilized Capacity:
Underutilized Capacity: Agents were not utilizing their time effectively on productive tasks.


Audit Compliance: Clearing Internal Quality Audit (IQA) assessments was a major
hurdle in staying compliant with client norms.

The Solution

The Nudge Coach focused on two pillars of operational excellence:

Visibility

Visibility

Providing agents with data on their "Time on Process" and "Utilization" to drive self-correction.

Quality Alignment

Quality Alignment

Using behavioral nudges to focus agent attention on the specific metrics required to pass IQA assessments.

The Outcomes

20%

Improvement in Productivity

A substantial increase in the time agents spent on
core processing tasks.

12%

Improvement in Quality (IQA)

The team achieved higher compliance rates and
better internal audit results.