Health Services & Insurance Data Solutions
Enterprise data solutions purpose-built for health insurers
The Problem
Health insurers operate with siloed data across claims, membership, billing, and CRM, leading to conflicting definitions, broken reconciliation, inflated member counts, and weeks lost to manual financial close processes.
Our Solution
Enterprise data modelling for complex health insurance operations. Claims Intelligence Platform (fraud detection, risk stratification, provider network optimisation). Member 360 Analytics with Golden Customer ID (probabilistic + deterministic matching via MDM hub). Single source of truth implementation with cross-functional governance.
What we deliver
Claims Intelligence Platform (4–6 weeks)
Member 360 Analytics (3–4 weeks)
Golden Customer ID implementation
Enterprise data modelling
Cross-functional governance frameworks
Real-world applications
Claims definition alignment across Actuaries/GL/Claims Intelligence
Member identity unification across 6+ systems
Fraud detection & risk stratification
Financial close acceleration
From diagnosis to scale
Diagnose
Map existing workflows and pain points
Design
Rebuild data model with domain concepts first
Train
Custom workshops, pair domain experts with engineers
Quick Wins
Deliver high-impact outputs first
Scale
Domain experts become platform champions
Tangible outcomes
25% fraud reduction
15%+ care outcome improvement
40% reduction in financial close time
15% retention improvement
25% reduction in call centre handle time
360° unified member view
Ready to transform your data platform?
Let's build something exceptional together.
Explore Health Insurance Solutions