Intelligent Healthcare Insurance

Built on:
Pega Infinity | Pega CDH | GenAI Blueprint

Impact

35%

faster policy selection

25%

operational cost reduction

90%

improvement in claim processing accuracy

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  • The Challenge
    Insurance providers struggle with manual policy recommendations and slow claim approvals that frustrate customers and increase costs.
  • Our Solution:
    Intelligent Healthcare Insurance combines Pega CDH with BlueRose’s AI-driven Document Recognition to automate both policy personalization and claims processing.
    Customers get AI-curated coverage recommendations, while insurers benefit from real-time document extraction, fraud detection, and claims validation.

  • Why It Matters:
    This solution reduces claim cycle time by 90%, accelerates policy selection by 35%, and cuts operational costs by 25%.

  • Key Differentiator:
    An intelligent blend of GenAI decisioning, customer data hub personalization, and BlueRose’s document automation for end-to-end transformation.

Power your next wave of Digital Transformation

Power your next wave of Digital Transformation