SEB moved decision making from the hands of IT to business users

Video created by Makenna.Brei Advocate on Sep 5, 2017

    Client: SEB (Smart Employee Benefits)

    Challenge: Most health plan claim adjudication software platforms use decision logic that is hard-coded into software. This makes it difficult for companies such as SEB to offer flexibility in plans and necessitates IT involvement to make any changes.

    Solution: By incorporating FICO® Decision Management Suite into its proprietary adjudication platform, SEB allows business users, who are the industry and customer experts, to change rules in the platform directly, without requiring a new IT development cycle.

    Results: SEB has created a flexible solution that can respond to the needs of the marketplace and individual customers, and it has opened up new possibilities for future service offerings.

    Read the full case study here.