With extensive experience in analyzing and implementing business processes, Genpact has the right tools and methodologies to offer solutions in fraud and abuse investigation, subrogation services and overpayment identification and recoveries. Our sophisticated analytics, statistical tools and process focus give us the ability to analyze claims customized to specific criteria plans and identify recovery potential. By utilizing technology backed identification aided by expert processors, we make process improvements that deliver bottom line impact.
We offer a unique end-to-end approach with cost management solutions that are scalable within the payer organization. Our domain expertise includes teams comprised of doctors, nurses, statisticians, programmers, customer service representatives and graduates across the fraud and abuse lifecycle. This team of experts, added to our process improvement focus and technology solutions, enhances identification and recovery of overpaid claims and enables intelligent claims processing.
Our methods of data extraction lead to relevant analysis of trends to identify fraud and abuse claims. With a large team aligned to fraud and abuse protection for the US payer market, our programs have resulted in savings of up to $15 million in many cases.
Overpayments on claims cost healthcare providers over $120 billion in losses annually in the US. With expert tools and analytics, Genpact has helped clients worldwide in identifying and recovering overpaid claims. For a client, this reduced losses and enhanced bottom line impact by $5 million.