To outperform competition, payers need a benefits administration strategy that is efficient, complies with changing regulations and keeps costs in check. Traditional systems are error-prone, have limited testing coverage and struggle with information exchange.

WNS’ Benefits Administration solution is powered by intelligent automation and Artificial Intelligence (AI) tools, ensuring regulatory compliance, process excellence and cost optimization.

We offer end to end benefit administration services from account setup, case installation ,benefit coding, specialty benefits setup, benefit testing, across various lines of businesses, plan and products types.

To outperform competition, payers need a benefits administration strategy that is efficient, complies with changing regulations and keeps costs in check. Traditional systems are error-prone, have limited testing coverage and struggle with information exchange.

WNS’ Benefits Administration solution is powered by intelligent automation and Artificial Intelligence (AI) tools, ensuring regulatory compliance, process excellence and cost optimization.

We offer end to end benefit administration services from account setup, case installation ,benefit coding, specialty benefits setup, benefit testing, across various lines of businesses, plan and products types.

Automation-driven-benefit

Automation driven benefit
administration partnership

  • 20-50% improved benefit test coverage
  • 5-10% reduction in TAT
  • Improved benefit configuration accuracy
  • Faster mid-year benefits maintenance and renewals / revisions
  • Reduced time to market for new plans / products

Enhancing Benefits Administration Efficiency and Performance

We streamline operations for better efficiency, broaden benefit test coverage and ensure precise benefit configuration. By eliminating coding-related claims payment issues, we help clients accelerate the launch of new plans and products, reduce turnaround times for renewals and enhance the experience for both members and providers.

Our digital solution suite to drive accurate benefit administration with faster TAT:

Workflow for Plan Sponsor Onboarding

Customised workflows to streamline the flow of product , plan and member benefit information

Automated Claim Testing

Automate claim test case creation, execution and reporting

Copy/Clone Plans

Templatise copy/cloning of existing product and plan benefits

Schedule of Benefits (SoB) Ingestion

AI-ML solution for SOB and plan grids ingestion into Benefit Platform

Automated Operational Reporting

perational dashboards for Service Level Agreement (SLA) performance, reporting and process benchmarking

Benefit Analytics

Analytics to determine utilization at product, plan , sponsor and benefit levels

payer-Benefits-Why-WNS

Why WNS?

  • An Independent Specialty Benefit and Clinical Services Company
  • 21+ years of experience in specialty benefit testing
  • Reduce manual benefit administration operations
  • Improved downstream claim payments through accurate benefit code and test