Case Study on Long-Term Care Insurance Automation

This case study details the implementation of the in|sure Health Claims software by INTER Krankenversicherung AG to automate long-term care insurance services. The company, which has a strong presence in the private health insurance market, faced challenges due to the competitive landscape and the need for efficient processes. The project commenced in July 2016 and concluded in December 2018, with the system going live on January 1, 2019. The introduction of the software aimed to optimize workflows by automating the calculation and reimbursement of care services. It involved extensive testing, employee training, and integration with existing systems. The results indicated a significant improvement in efficiency, with automated processing of recurring payments and reduced training times for new employees. The case study illustrates the successful transition to a modern claims management system that meets regulatory requirements and enhances operational effectiveness.