Replaced a 15-year-old claims system with a modern platform that cut processing time by more than half.
Client: Meridian Health Plans
Meridian Health Plans was running claims through a mainframe system that took days to adjudicate straightforward claims and made every regulatory change a multi-month project. We rebuilt the platform incrementally, migrating claim types one at a time so the business never had to stop processing.
The new platform pairs a rules engine that adjusters can actually configure with automated fraud checks that used to be entirely manual.
Built an agentic support assistant that resolves account and billing issues without a human handoff.
Read the storyBuilt a real-time scoring engine that catches fraudulent transactions before they settle.
Read the storyReplaced siloed store-level inventory systems with a single real-time platform.
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