Claims automation is rapidly evolving from a nice-to-have into a must-have for healthcare and insurance companies. The pressure comes from payers and patients demanding real-time responses, and the solution lies in auditable, AI-powered process orchestration.
Global Excel Management, a Quebec-based medical assistance firm serving clients in 90 countries, is leveraging the Appian platform to speed up claims processing. According to Appian's VP of Solutions Consulting, Gregg Aldana, the technology now moves fast enough to fund itself. “That need for speed translates into real dollars,” he said. “When we can adjudicate a claim or address a customer’s concern that much quicker, that’s more revenue.”
Jeff Renon, Global Excel's Director of Information Systems, explained that the company built front-end tools through Appian to ingest data faster and get it into employees' hands in real time. This mirrors a broader healthcare trend: start with data intake, then drive efficiency downstream.
Regulated environments demand full auditability-no black boxes. Aldana stressed that Appian’s platform allows any AI-assisted action to be audited by a third party, a critical requirement for compliance. Companies that can rapidly adopt new AI capabilities will separate from the competition. “With the same number of people, I can double my output now,” Aldana noted. “That’s where competitive companies are taking a different mindset.”