PowerPoint Presentation

[Audio] Good Day! We are proud to present an A T C I led delivery success story , Bringing together the power of Accenture's advanced technical capabilities to help Kaiser meet its business goals. where Accenture matured from being a vendor to a strategic partners..

Who is the hero?.

[Audio] Accenture developed a strategic partnership with Kaiser's claims portfolio to provide high-quality and affordable health care services to Members, Claims Examines, Providers and trading partners of KP.

[Audio] Accenture has a decade of relationship with Kaiser delivering various groundbreaking solutions across K P's support spectrum. We at A T C I thrived by aligning Accenture core values and bringing automation , optimization and innovation to Kaiser's claims core operations.

[Audio] Kaiser's core claims business called for change with Underutilized RPA platforms, Business users spending more time on non-core activities and Complex infra structure setup leading to utilization of high license cost third-party tools, reactive setup for production application maintenance. With surge in members over years and the need for redefined and industry leading solutions, three clear expectations did emerge from Kaiser, to develop a sustainable, digitized and collaborative solution to modernize the claims processing platform leveraging automation, optimization and AI/ ML to scale up business user experience on systems, deliver value, and not just enabled business..

[Audio] When Accenture's technology expertise meets human Ingenuity.

[Audio] Solution to the client's expectation was mainly hinged on the Acenture Value 360 pillars . Three things we focus from the health care perspective, how we can bring efficiency in operations through intelligent automation and process optimization? How we can deliver value differences making Kaiser's business more Collaborative, sustainable and Digitized ? How we can improve business user experience through IT aligned business operating model and modernize claims settlement platform?.

[Audio] Driving this platform modernization was not possible overnight, but it was a transformation journey forward by the collaboration of business, IT and service operations with automation and process deployment. Thanks to a collaboration with the client, we were able to define methodical and structured themes which resulted in not just delivering but exceeding their expectations . A Partnership grown on quality delivery.

[Audio] Changes in regulations can greatly impact processing. In fact, sometimes the whole process might have to be overhauled. This can become a major drawback when the company operates in different states, each with its own sets of laws and regulations. Accenture developed scalable solution with inhouse capabilities to help Kaiser easily adapt to industry and federal mandates..

[Audio] The automation roadmap enabled a structured analysis of end-to-end IT operation and implementation of smart tools and accelerators to enhance the through put of IT systems and enable scalable delivery to Kaiser.

[Audio] Accenture recommended a UiPath powered claims processing solution tailored to address the sustainability and operational concerns in clients' legacy claims processing platform. RPA Bots can integrate with all applications and systems, without creating disruption. It is entirely cost effective and scalable according to necessities and has up to 100% robotic accuracy.

[Audio] A robust automation framework, which brought in the required expertise and enabled a structure, the governance to drive automation. The automation architecture of the landscape, coupled with AI ML and Machine intelligence, enabled us to evolve our defined automation journey from a simple task automation to a sustainable, Scalable Hyper automation setup.

[Audio] Our domain-led technology solution powered with FHIR, AI ML and RPA for Claims settlements helped in : Enhancing operational efficiency with many manual overhead process converted to straight through automated processing Optimize and Well utilize examiners time by addressing only complex issues Achieve superior customer delight by drastically reducing operational and IT overheads resulting in a steep increase in claim settlement ratio.

[Audio] Talent management is paramount as a foundation to undertake a journey of this scale. Upskilling our resources was a primary function that yielded outstanding results and evolving and collaborative model setup with the business. And IT allowed us to have a phased approach focused on proof of concept and benefits realization. This enabled the ideation of new call for change, resulting in over 100+ business and IT use cases.

ELEVATING VALUE AT EVERY STEP.

[Audio] A quick recap to 360 value delivered to Kaiser claims connect in this journey.

[Audio] A Snapshot of this transformation journey in terms of deliverables and technology landscape. Thanks to the wonderful leadership team who guided us through out in this challenging yet a successful journey!!!. Thank you for listening to this transformation Journey!!!