Carrier use cases · Claims spend visibility

Know what the claim actually cost, while it is still open.

Claim-level, vendor-level and contract-level expense data in one structure, instead of spreadsheets assembled after the fact.

The problem

What gets in the way today.

Claims expense data is fragmented across workflows, teams and systems, so questions about spend take weeks to answer and are out of date when they land.

Why the problem exists

  • Expense lives in the billing path, not the claim record.
  • Each line of business reports differently.
  • Contracts are not attached to the transactions they govern.

What happens today

  • Spend questions answered by manual extract.
  • No consistent view across vendors and lines.
  • Decisions made on lagging information.
How VIP changes the workflow

Same claim. Different path.

Before VIP

Spend is reconstructed after the period closes.

With VIP

Spend is visible as it happens, in the structure decisions need.

  1. Transactions captured with claim, vendor and contract context
  2. Normalized across lines of business
  3. Available by claim, vendor, service and geography
  4. Fed into negotiation and selection decisions
Evidence

What the pilots actually showed.

8.98%of analyzed spend modelled as potential impact across accuracy, SLA enforcement and FTE effortEstimated — modelled
~$3.3Mestimated annual opportunity across the four pilot vendorsEstimated — modelled

Modelled estimate of annual opportunity, not a realized saving.

Business impact

  • Faster answers on claims expense
  • Comparable data across vendors and lines
  • Evidence for the next contract conversation

Where this sits in the claim

Pre-FNOLFNOLClaims OperationsExpensePerformancePaymentClosureIntelligence

Related VIP capabilities

Success stories

Evidence this has been done.

Related use cases

Next to this one.

Bring us one claims workflow.

Show VIP where the friction exists. We will map the workflow, identify the operating gaps and show where VIP can create measurable value.