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      Control Claims Costs

      Reduce medical claims leakage & improve claims management

      Workers’ compensation claims are skyrocketing—and so are their costs. Cognizant’s Optima MedWise can prevent up to 10% in claims leakage.

      Workers’ compensation medical costs are rising faster than the medical consumer price index. For insurers, that means claims payments are cutting into profitability, posing a potentially existential threat to the business.

      Cognizant’s Optima MedWise? can help. With this solution, insurers can take full control of workers’ comp claims management costs, and deliver positive outcomes for members. By bridging gaps between traditional cost containment strategies like medical bill review, nurse case management, and utilization review, Optima MedWise can eliminate up to 40% of manual claims decisions, reducing your operating costs.

      With Optima MedWise, you can:

      • Review and confirm Treatment Plans for all claims, saving unnecessary expense.
      • Provide cost-effective treatment plans for members.
      • Gain evidence-based guidelines for making objective claims decisions.
      • Automate bill processing, saving time and costs.
      VIEW PDF

      Review Claim Exceptions

      All claims are reviewed by our medical experts, who find the claims that are outside the norm and recommend which ones to question.
      Treatment Plan Engine

      Establish a treatment plan for every claim and update it as needed. Automation provides immediate processing of routine claims and full monitoring of business activities.
      360-Degree View

      Gain a holistic view of every claim, with details on treatment plans, current status, payments and medical histories.

      OUR PERSPECTIVES

      OUR LEADERS

      Shankar Balakrishnan

      SBU Head, Insurance Digital Operations and Head of Practice Development
      Cognizant Digital Operations

      BIOGRAPHY


      Jim Sorrells

      Business Development Executive
      Cognizant Digital Operations

      BIOGRAPHY


      TAKE THE FIRST STEP

      Serving customers by looking forward as well as back is a big promise, but the power of today's new digital capabilities is vast and growing.

       Let's talk about how digital can work for your business.

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      Thank you for your interest in Cognizant.

      We’ll be in touch soon.