"From Protection to Prosperity: Enabling Seamless Growth for a Global Insurance Leader"
Client is a Life Insurance Company, now part of Canada Life, offers a range of insurance and financial services, including life, health, and disability insurance, as well as investment and retirement planning solutions. It is known for helping individuals and businesses achieve financial security across Canada and internationally.

PROBLEM

The client faced the complex challenge of integrating a robust pricing solution that could accurately apply contracted provider rates to healthcare claims. Historically reliant on third-party systems or manual interventions, the existing process lacked transparency, flexibility, and control. As part of their digital transformation strategy, the client aimed to bring this critical function in-house to enhance operational efficiency, improve pricing accuracy, and reduce dependency on external platforms. This transition required not only seamless integration with multiple internal systems but also careful change management to ensure that the new solution could handle large volumes of data, maintain compliance with regulatory standards, and adapt to evolving provider contracts and claim types without disrupting ongoing operations.
SOLUTION

Provided integration solutions to bring the pricing for
Specialty risk claims in house using software developed by
The Trizetto Group, ” Standalone NetworX Pricer ” , Trizetto ‘ s
NetworX Pricer is used to apply contracted provider rates to
claims associated with PPO/Open Access customers.
IMPACT

Our Prestigious Clientele





























