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Client: Vhi Insurance, largest health insurer in Ireland
Challenge: With the proliferation of products in the Irish health insurance market, Vhi needed a flexible and agile claims system to automate claims adjudication and processing, and enable business owners to develop the logic and adjust the system as needed.
Solution: FICO® Blaze Advisor® decision rules management system
Results: By using Blaze Advisor to manage claims decisions across the enterprise, Vhi has automated claims processing, reduced fraud and significantly increased operational efficiency.