Healthcare Payer Services

Hexaware brings in deep domain expertise in claims management services using processes that are compliant to global standards. Our processes leverage the use of home grown robotics that have been incorporated on large scale client engagement. By making use of our payer suite of services, you will be able to focus your energies on member engagement and other aspects that are critical to your business growth.

Our tailor made hFraud engine works collaboratively with social media, to stop revenue leakages that may result from inflated claims billing. Intelligent and robust reporting structure provides 360 degree view of your entire claims’ function.



Customer research and product creation Sales and marketing Policy acquisition Policy servicing Billing and collections Claims Processing Insurance accounts and regulatory reporting
  • Customer segmentation
  • Product design
  • Actuarial services
  • Regulatory approval
  • Background research and analytics
  • Distribution channel management
  • Direct sales
  • Outbound/inbound
  • Telesales
  • Marketing and advertising
  • Obtain , validate
  • Risk details
  • Policy validations
  • Premium calculations
  • Policy authorizations
  • Prepare and issue policy
  • Customer query handling
  • New business data entry
  • Maturity processing
  • Servicing for loans , surrenders and lapsation
  • Inbound call center
  • Capture and index queries and complaints
  • Update database
  • Prepare and send response
  • Refunds
  • Exception handling
  • Record remittance
  • Collect premiums
  • Produce bill statements
  • Reconciliations of bulk premiums
  • Handle billing queries
  • Payment processing
  • Assessment litigation
  • Complex claims assessments
  • Recovery of overpayments
  • Index claims
  • Register claims
  • Claims validations
  • Settlement
  • Invoice
  • Processing claims invoices
  • Generate reports for regulatory agencies
  • Tax processing
  • Payment processing
  • Bank reconciliations