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Insurers reject one in 12 claims and pay 71 paise per rupee claimed. The managed care model promises to fix that. Here is what it solves and what it quietly relocates.
As claims grow more complex and more consequential, the profession needs to rethink what good claims management looks like
Magellan Solutions - Call Center | BPO | KPO | Outsourcing
Healthcare payers protect patients from high medical expenses, enabling them to receive the best care without financial hardship. Aside from […] Magellan Solutions - Call Center |...
The trade body says deductibles, duplicate filings and coverage determinations, not bad faith, account for many claims closed without payment
One insurer has enacted a new claims charter
Marsh's annual claims report reveals a 34% surge in global W&I notifications, and a pricing correction that underwriters say still hasn't gone far enough
The following is a guest article by Mark Noel, SVP and GM of ClaimInsight at AMPS Why transparency and defensibility have become non-negotiable for health plans — and what it takes...
Marsh's annual claims report reveals a 34% surge in global W&I notifications, a 150% spike in the UK, and a pricing correction that underwriters say still hasn't gone far enoug...
With UK insurers forecast to pay out £1.11 for every £1 earned in 2026, the pressure on motor claims efficiency has moved from operational concern to regulatory priority
Carpenters Group’s Donna Richards and Simon Smith on closing the gap between digital insurance and human claims handling
Insurance claims departments are where insurance becomes real. This is the central message I took from Chantal Roberts’ recent white paper, The ROI of Claims Staffing and Education...
Communication gaps, inconsistent handling and outdated processes are reshaping how brokers and clients experience claims
Stuart Gentle Publisher at Onrec 24 Jun 2026|Clear Insurance Management Reveals the Stranger Side of Insurance ClaimsIn a nod to the unpredictable nature of modern working life, t...
Industry numbers have declined every year since 2019
TL;DR Collecting feedback right after a real interaction, such as First Notice of Loss (FNOL), claims resolution, renewal, or cancellation, is far more useful than sending...
Insurance claims are still slow, manual, and also with frequent errors. Insurers deal with high volumes, complex documents, and rising fraud risks. This leads to delays, poor custo...
Filing a mediclaim becomes easier when you know what to prepare before treatment, during hospitalisation and after discharge. Many claim delays happen because families miss documen...
Working with payers to ensure every patient is covered at the appropriate level of care isn't a back-office function—it's the place where revenue cycle managers can show up for pat...
Brokers rank faster settlement above faster quotes - and the cost data shows why
Claims data is revealing patterns that risk registers often miss. Two experts explain why that matters
A dispute over audits and claims costs followed a $303,000 collateral demand
Private medical insurance spending has jumped 50% since the pandemic, pushing brokers and employers to seek new ways to tackle waste, fraud and rising clinical costs
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