Reducing Health Insurance Management Costs: Key Lessons from the Klaimy & Mydral Webinar
Against a backdrop of rising healthcare costs, the issue of insurance management costs is becoming a central one. How can we optimize these costs while meeting the changing expectations of policyholders? Klaimy and Mydral, in collaboration with Alptis, co-hosted a webinar to address these issues, exploring the synergy between artificial intelligence and data analysis to transform claims management processes. If you missed the live event, don't worry: the replay is now available to discover the interventions of industry experts. Access the replay here
Context: Health insurance management in the face of rising prices
The rise in supplementary health insurance rates, which has reached 8.1% in 2023 according to Mutualité Française, represents a considerable challenge for insurers. Several factors explain this increase:
- An aging population;
- The growth of long-term illnesses ;
- The transfer of certain expenses from the Assurance Maladie to complementary health insurance (e.g. dental care).
Fabrice Pesin, Managing Director of Alptis, shared during the webinar the impact of these developments on the purchasing power of policyholders, particularly senior citizens, and possible solutions for adjusting offers and controlling costs.
Why automation is essential to meet today's challenges?
In 2022, health insurance management costs and services in France will represent on average between 16% and 22% of premiums, of which 4% to 5% will be specifically linked to claims management costs, representing a total of 1.7 billion euros spent. This amount illustrates the importance for insurers of finding solutions to reduce these costs while improving operational efficiency.
What's more, with 91% of insurers placing customer satisfaction at the heart of their strategy (according to a study by L'Argus), reducing manual tasks with little added value is becoming a priority. Currently, managers spend 75% of their time entering data. This traditional approach not only consumes resources, but also limits their ability to focus on higher value-added interactions.
Klaimy: Automation to reduce management costs
One of the major levers for containing rising costs is reducing claims management costs. Currently, a claims manager spends between 5 and 10 minutes per medical invoice, a repetitive task that can lead to queues and low operational efficiency.
This is where Klaimy comes in. This artificial intelligence software can process an invoice in 1 to 5 seconds, whatever the format or language of the document. By integrating Klaimy directly with insurers' existing systems via API, the tool enables:
- Automated data extraction from any type of document, in any language;
- Information quality control and data enrichment ;
- Intelligent comparison with contracts to offer real-time recommendations.
The impact? Increased operational efficiency, costs reduced by over 75%, and an improved customer experience. In other words, Klaimy doesn't just simplify claims processing; it redefines the relationship between insurer and policyholder, speeding up the entire process.
Mydral: Maximizing Data Value for Better Decisions
If automation is the first step towards optimized management, Business Intelligence (BI) and data analysis are additional levers for improving decision-making. Once data has been structured and controlled, it becomes a goldmine for guiding decisions and rethinking offers. Data &Analytics expert Mydral demonstrated during the webinar how insurers can leverage collected data to:
- Optimize the offers made to their policyholders thanks to fine-tuned segmentation and the use of data;
- Anticipating future industry trends and portfolio deformation
This synergy between process automation with Klaimy and advanced data analysis with Mydral gives insurers a global, actionable view of their operations, enabling them to optimize claims management while reducing costs.
Feedback: Alptis and the challenges of reducing administrative costs
To enrich this webinar, Fabrice Pesin from Alptis shared his experience of the challenges involved in controlling management costs. The group, founded in 1976, is committed to offering modular solutions tailored to the specific needs of policyholders, working in several areas:
- Fighting fraud: Alptis uses AI tools to detect anomalies in reimbursement files.
- Prevention: Awareness and prevention programs to encourage better management of members' health.
- Controlling management costs: Thanks to solutions like Klaimy, Alptis optimizes its processes while offering an enhanced customer experience.
Conclusion: Access the Replay and Transform Your Processes
Managing claims and controlling management costs are major challenges for insurers in the face of rising healthcare costs. The alliance between Klaimy's intelligent automation and Mydral's data analysis paves the way for concrete solutions, both to improve operational efficiency and to deliver a better customer experience.
Don't miss the opportunity to discover these innovative solutions in the webinar replay. You'll find valuable insights to help you transform your business processes and meet today's industry challenges. Access the replay here
