Client Cases
Improved Payer Relations
Improving Payer Relations – Closing BCBS Reciprocity Reimbursement Gaps The largest for-profit member of the Blue Cross Blue Shield Association was managing reputation risk due to a complaint filed with the state’s Department of Insurance. They were looking for a professional services partner to: Assess the current state of claims processing Identify key drivers of…
Read MoreIncreased Business Efficiencies
Increasing Business Efficiencies through Process Documentation An enterprise risk team at a Fortune 100 Company was lacking consistent and centralized documentation of key highly regulated processes. In an effort to meet internal audit and regulatory requirements, a professional services partner was needed to: Inventory and remediate processes out of compliance and bring them up to…
Read MoreAchieved Strategic Initiatives
Achieving Strategic Initiatives through Delivery Roadmap & Vendor Solutions The enterprise risk group at a Fortune 100 Company was looking to successfully complete firm wide strategic risk initiatives. Struggling to coordinate efforts across departments and 3rd parties, they required a professional services partner to: Provide key deliverables on the defined timetable Eliminate confusion between departments…
Read MoreIncreased Data Integrity & Improved Processes
Increasing Data Integrity & Improving Processes through Controls Implementation A revenue management team at a Fortune 100 company was facing a high volume of errors and data integrity issues in their quarterly fee calculation process due to insufficient controls and required professional services partner to: Reduce setup errors Eliminate 100% quarterly audit of all contracts…
Read MoreOptimized Transaction Processing
Optimizing Transaction Processing through Capacity Planning The OCC issued an MRIA to a National Payments Provider due to capacity challenges limiting transaction processing volumes for its large bank clients. A professional services partner was required to assess the OCC identified shortcomings and recommend resolutions, specifically: Assess the current state environment Remove non-performing assets without increasing the…
Read MoreRisk Based Decisioning
Risk Based Decisioning for Mortgage Portfolio Management A Top 4 US Bank was working against market conditions to manage an increased risk position due to an acquired portfolio of toxic mortgage loans that were foreclosing. They were looking for a professional services partner to: Assess the current state environment Remove non-performing assets without increasing the risk…
Read MoreManaging Operational Risk and Efficiency
Managing Operational Risk & Efficiency Leveraging Lean Six Sigma A southeast regional US Bank was experiencing increased operational risks every time there were new market demands, as a result of inconsistent problem-solving methods and variation and defect proliferation. They were looking for a professional services partner to help them improve their return on strategic imperatives:…
Read MoreOptimized Customer Experience
Optimized Customer Experience and Resolved MRA Corrective Action The OCC issued an MRA to a Top 10 US Bank due to variation in its debt to income (DTI) calculation across multiple lines of business. Lack of established standards allowed for too much interpretation by business unit and they were looking for a professional services partner to…
Read MoreMedical Center Process Transformation
End-to-End Medical Center Process Transformation A large medical group serving the low-income population of a major city was struggling with low stakeholder satisfaction and repeated revenue shortfalls. They were seeking a professional partner to: Assess the current state environment Improve stakeholder scores and achieve financial goals Assist in achieving PCMH recognition Solutions and Results To uncover…
Read MoreIncreased Lender Market Share & Competitiveness
Increasing Lender Market Share & Competitiveness for a Top 10 US Bank through Process Design Challenge A commercial lending team at a Top 10 US Bank was struggling to grow market share and looking for a professional services partner to help them attain their operational, financial, and organization design goals and eliminate: High operational costs…
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