CASE STUDY

Optimizing Back Office Productivity: How Behavioral Nudging Enhanced Claims Processing for an American Insurance Major

About The Client
Client: Leading North American Financial Services Group | Process / Function: Claims (Health Claims) | Geography: India

The Challenges

Low Productivity Visibility:

A lack of insight into “Time on Process” and “Utilization Time” prevented agents from optimizing their daily workflows.

Process Compliance:

There was a critical need to ensure claims were processed accurately according to strict client SOPs.

The Solution

The worxogo Nudge Coach was implemented to provide agents with real-time visibility and guidance:

Productivity Insights

Productivity Insights

Delivering clear data on utilization to encourage more time spent on productive tasks.

Process Training

Process Training

Providing insights into accuracy while simultaneously training agents on process norms to ensure hand-in-hand improvement.

The Outcomes


The deployment resulted in significant gains in just 3 months, leading to a scale-up across all teams & processes:

13%

Improvement in Productivity

Agents effectively increased their productive time through better visibility.

6%

Improvement in Financial Accuracy

Enhanced focus on SOPs led to higher quality in claims processing.