Optimize Healthcare Payer Operations

Healthcare payers struggle with high claims processing costs, payment accuracy, and member satisfaction. Skan AI shows you exactly what's happening in your claims processes so you can fix the right problems.

Enhancing Employee Experience

Top Healthcare Payer Challenges We Solve

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Claims Processing Bottlenecks

Most payers cite this as their #1 challenge. We show you exactly where claims get stuck so you can fix these bottlenecks.

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Poor Member Experience

See why members call multiple times about the same claim and find simple ways to cut complaints by 25%.

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High Compliance Risk

Most payers spend too much time on manual compliance checks. Cut it by 30% by learning from your most efficient processes.

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Rising Operational Costs

See which manual tasks cost you the most and how to automate them the right way to reduce processing costs.

See More. Know More. Do More.

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From Guesswork to Certainty

Know which claims steps slow you down the most and top guessing what to fix and know exactly where to focus.

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From Hidden to Visible

See why members call multiple times about the same claim and uncover bottlenecks others miss in your claims process.

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From Reactive to Proactive

Spot process problems before they hurt member satisfaction and prevent problems instead of just fixing them.

Real Results for Healthcare Payers

Leading Healthcare Payers use Skan to Drive Better Business Outcomes

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$50M

cost savings through process optimization

F50 Healthcare Payer

20 %

process variability reduction

Leading Healthcare Payer

12 %

First Call Rate (FCR) increase

Healthcare Payer

How Skan AI Works

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Step 1

Observe

We observe every application and process activity directly from agent desktops.

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Step 2

Analyze

We create a digital twin of operations using our proprietary AI to stitch together activities.

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Step 3

Identify

We identify patterns in your process and your best performers.

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Step 4

Optimize

You get insights and guidance for optimizations that can save millions. 

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Solve Your Biggest Payer Challenges

Claims Processing Excellence

Claims Processing Excellence

Speed up claims processing and reduce cost per claim.

  • See where claims get stuck and why
  • Cut claims processing time by 30%
  • Reduce payment errors by identifying manual workarounds

Enrollment & Billing Efficiency

Enrollment & Billing Efficiency

Optimize the member enrollment and billing process. 

  • Streamline member onboarding steps
  • Cut processing time for group enrollments
  • Reduce billing errors and adjustments

Member Experience Improvement

Member Experience Improvement

Streamline member management processes to serve members more efficiently.

  • Discover why members call multiple times
  • See which claims create the most follow-up calls
  • Reduce member complaints with faster resolutions

Provider Network Management

Provider Network Management

Streamline interactions with network providers reducing overall processing times.

  • Improve provider credential verification
  • Speed up provider additions to networks
  • Reduce errors in provider data management

Claims Processing Excellence

Speed up claims processing and reduce cost per claim.

  • See where claims get stuck and why
  • Cut claims processing time by 30%
  • Reduce payment errors by identifying manual workarounds

Enrollment & Billing Efficiency

Optimize the member enrollment and billing process. 

  • Streamline member onboarding steps
  • Cut processing time for group enrollments
  • Reduce billing errors and adjustments

Member Experience Improvement

Streamline member management processes to serve members more efficiently.

  • Discover why members call multiple times
  • See which claims create the most follow-up calls
  • Reduce member complaints with faster resolutions

Provider Network Management

Streamline interactions with network providers reducing overall processing times.

  • Improve provider credential verification
  • Speed up provider additions to networks
  • Reduce errors in provider data management

What Our Customers
Have to Say

Learn how Fortune 500 enterprises have benefitted from
Skan AI’s innovation. 

  • The depth and specificity of the data-driven insights delivered by Skan AI in 3 months would have taken a team of 8 six sigma blackbelts multiple years to put together.


  • Skan AI delivered an exceptional outcome that was way beyond everyone’s expectations.


  • Skan AI is helping us achieve positive outcomes by quickly discovering our users’ interactions with our processes and systems and giving us an invaluable source of truth.


How does Skan AI see our claims processing without accessing sensitive patient data?

Skan AI observes how work happens without capturing sensitive data content. We focus on the "how" of work rather than the data itself. Our platform masks and redacts sensitive information, keeping your PHI secure and HIPAA compliant.

We've already invested in process mining tools. What makes Skan AI different?

Unlike traditional process mining that only sees system logs from one system, Skan AI observes every application your claims staff uses - including legacy systems, mainframes, and manual workarounds that other tools miss.

Our customers typically discover 40% of claims work happens in applications their existing tools can't see.

How quickly can we start seeing results for our claims operations?

Most healthcare payers see valuable insights within 4-6 weeks of deployment. You'll get immediate visibility into process bottlenecks, and many customers implement their first improvements within 8 weeks, often reducing claims processing time by 20-30%.

How do you help us decide which claims tasks to automate first?

Skan AI scores each task based on impact on outcomes like processing time and costs - not just how often it happens. We show you which tasks are best for RPA versus AI automation, helping you build a roadmap that delivers the biggest ROI first.

Can Skan AI work with our existing claims processing systems?

Yes. Skan AI works with any claims system without integration - including legacy mainframes, modern cloud platforms, and even homegrown applications. There's no need to modify your existing systems or workflows.

Will our claims adjusters feel like they're being monitored?

We focus on process improvement, not individual performance monitoring. The platform anonymizes individual data and looks for patterns across teams. Our healthcare payer customers find that employees welcome the initiative when it's communicated properly because it helps eliminate frustrating inefficiencies in their daily work.

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