Health Insurance Intelligence Platform
Health Insurance Intelligence Platform
Enabling anomaly detection for Health Insurance Claim Management
Enabling anomaly detection for Health Insurance Claim Management
Enabling anomaly detection
for Health
Insurance Claim Management
My role
My role
I led the UX redesign of Foyer Global Health's insurance management system, replacing an ineffective solution from a previous vendor. The new system prioritized usability, workflow efficiency, and brand alignment, ultimately delivering a product that better served the needs of FGH's users while maintaining brand consistency.
I led the UX redesign of Foyer Global Health's insurance management system, replacing an ineffective solution from a previous vendor. The new system prioritized usability, workflow efficiency, and brand alignment, ultimately delivering a product that better served the needs of FGH's users while maintaining brand consistency.
My role
I led the UX redesign of Foyer Global Health's insurance management system, replacing an ineffective solution from a previous vendor. The new system prioritized usability, workflow efficiency, and brand alignment, ultimately delivering a product that better served the needs of FGH's users while maintaining brand consistency.
Scope
User Research
UX Design
UI Design
Design System
Team
1 Lead Product Designer
1 Junior UI Designer
2 Fullstack Developers
About Global Health
About Global Health
Foyer Global Health is a leading international health insurance provider specializing in comprehensive coverage for individuals and organizations worldwide. The company focuses on delivering flexible insurance solutions with exceptional customer service, backed by advanced digital systems for claims processing and management.
FGH's emphasis on technological innovation enables them to offer streamlined experiences while maintaining the personalized attention their diverse global clientele requires.
Foyer Global Health is a leading international health insurance provider specializing in comprehensive coverage for individuals and organizations worldwide. The company focuses on delivering flexible insurance solutions with exceptional customer service, backed by advanced digital systems for claims processing and management.
FGH's emphasis on technological innovation enables them to offer streamlined experiences while maintaining the personalized attention their diverse global clientele requires.
About Global Health
Project
Health Insurance
Intelligence Platform
Problem
Health insurance claims processing suffered from inefficient manual workflows and inadequate fraud detection capabilities. Agents spent excessive time manually entering data from paper/PDF documents, while unusual or potentially fraudulent claims often went undetected, leading to increased costs and processing delays.
Solution
Designed a comprehensive health insurance claims management platform with intelligent anomaly detection capabilities. The solution unified automated data extraction, visual analytics, and rule-based validation in a user-friendly interface that prioritized efficiency and accuracy while maintaining brand consistency.
Result
Successfully modernized the claims processing workflow, achieving a 40% reduction in manual data entry and identifying potentially fraudulent claims through radar visualization. Users reported significantly improved ability to identify outlier claims requiring review, and the platform's intuitive document upload interface streamlined the overall claims management process.
Problem
Health insurance claims processing suffered from inefficient manual workflows and inadequate fraud detection capabilities. Agents spent excessive time manually entering data from paper/PDF documents, while unusual or potentially fraudulent claims often went undetected, leading to increased costs and processing delays.
Solution
Designed a comprehensive health insurance claims management platform with intelligent anomaly detection capabilities. The solution unified automated data extraction, visual analytics, and rule-based validation in a user-friendly interface that prioritized efficiency and accuracy while maintaining brand consistency.
Result
Successfully modernized the claims processing workflow, achieving a 40% reduction in manual data entry and identifying potentially fraudulent claims through radar visualization. Users reported significantly improved ability to identify outlier claims requiring review, and the platform's intuitive document upload interface streamlined the overall claims management process.
Problem
Health insurance claims processing suffered from inefficient manual workflows and inadequate fraud detection capabilities. Agents spent excessive time manually entering data from paper/PDF documents, while unusual or potentially fraudulent claims often went undetected, leading to increased costs and processing delays.
Solution
Designed a comprehensive health insurance claims management platform with intelligent anomaly detection capabilities. The solution unified automated data extraction, visual analytics, and rule-based validation in a user-friendly interface that prioritized efficiency and accuracy while maintaining brand consistency.
Result
Successfully modernized the claims processing workflow, achieving a 40% reduction in manual data entry and identifying potentially fraudulent claims through radar visualization. Users reported significantly improved ability to identify outlier claims requiring review, and the platform's intuitive document upload interface streamlined the overall claims management process.
Behind the scene
Behind the scene
No flashes, just hard work, phases of chaos & uncertainty, phases of structuring and aha! moments. Days of collaboration & days of individual focus work.
No flashes, just hard work, phases of chaos & uncertainty, phases of structuring and aha! moments. Days of collaboration & days of individual focus work.
