Insurance, Social Protection & e-Government Platforms · 25
Claims Processing & Back-Office Outsourcing (BPO)
A white-label management center for health-insurance back-office operations.
With I-Way GroupThrough I-Santé BPO — I-Way Group’s white-label management center founded in 2015 — brokers, insurers, mutual funds and large companies can delegate data entry, claims processing and member services, cutting processing costs and refocusing on their core business.
Scope of service
- Subscription management and validation
- Processing of paper and paperless healthcare claims
- Reimbursement statements
- Updates to member data, payment methods and contracts
- Complaint handling in back and front office
- Provider agreements and provider statements
- Third-party-payer and in-house medical center activity
- Scanning and archiving of claim forms in an integrated EDMS
- Real-time claim tracking via extranet and mobile
- Reporting and statistics
Good to know
Service levels shown are those published by I-Santé BPO; commitments for each engagement are defined contractually.
How we deliver it
- 01
Baseline
We establish what exists, what is required, who owns each dependency and what evidence will demonstrate completion.
- 02
Design
Options are compared for interoperability, scalability, maintainability and total cost of ownership, with security built in.
- 03
Implement
A controlled sequence of configuration, development, integration, migration and testing that limits disruption.
- 04
Operate
Runbooks, named ownership, training and a stabilization period so the capability holds under real workloads.
Related services
Start with a technology assessment
Whether the priority is a new enterprise network, a secure records platform, ERP modernization, cyber resilience or offline AI, we can structure the problem into an actionable delivery plan.