The impact was felt across the board:

• Manual Claims Processing:
  Claims adjusters spent up to 60% of their time on manual data entry, resulting in delays, increased errors, and staff burnout.
• Fragmented Documentation:
  Key benefit documents were scattered across SharePoint, Excel, and even paper files—causing inconsistencies and audit risks.
• Limited Automation:
  Only 30% of claims were auto-adjudicated, slowing resolution time and driving up operational costs.
• Integration Gaps:
  The legacy platforms couldn’t keep pace with evolving coding standards or integrate with provider systems—leading to data silos.
• Compliance Vulnerabilities:
  Manual audit trails and poor version control created exposure to regulatory penalties.