Major Insurer Accelerates Claims Processing with Smart Consent

An insurer unified policyholder approvals, medical-sharing permissions, and claims evidence handling to remove delays in downstream processing.

Faster Claims

67%

Reduction in Disputes

Portfolio-scale

Policy coverage

Operational challenge

Complex consent workflows across policy lifecycle stages created bottlenecks in claims processing and dispute resolution.

Implementation approach

Automated consent verification was integrated into insurer, TPA, and care-provider workflows, backed by structured audit history.

Mapped consent checkpoints for claims intake, validation, and payout workflows.

Added purpose-based permissions for medical data exchange across external parties.

Enabled audit-ready delivery and evidence trails for disputed claims.

Governance outcomes

Claims teams had clearer evidence of what data could be used at each stage.

Reduced avoidable escalations caused by incomplete or stale approvals.

Created one defensible audit trail for insurer and partner interactions.