A National Carrier's Digital Transformation Journey

Digital transformation is now essential for ongoing success. Most organizations have faced the challenge of replacing or modernizing aging systems while keeping operations running smoothly. In healthcare and insurance, this challenge is even greater because legacy platforms can slow down processes, reduce accuracy, and limit responsiveness to customers.

Modernization can be complex, but the benefits are significant. Organizations see better collaboration, improved customer engagement, and a stronger foundation for future innovation. With the right platform, transformation becomes both achievable and sustainable.

EbixEnterprise provides that foundation by helping organizations streamline processes, consolidate systems, and prepare for long-term growth.

The Meaning of Digital Transformation

Digital transformation means using modern technology to redesign business processes, improve customer experience, and strengthen performance. It is not a single project but an ongoing effort that reshapes how an organization operates.

Many healthcare and insurance organizations still rely on legacy systems, including decades-old mainframes. By adopting advanced solutions that use artificial intelligence, machine learning, cloud computing, and predictive analytics, these organizations can become more flexible and resilient.

The challenge is to balance investment, timing, and disruption. A well-chosen digital platform with a clear implementation strategy helps make that balance possible.

How EbixEnterprise Powers Digital Transformation

EbixEnterprise is a complete solution that allows carriers to streamline policy and benefits administration throughout the entire life cycle. It combines core functions in one ecosystem designed for efficiency, speed, and scalability.

EbixEnterprise includes:

• CRM (Powered by SmartOffice): Centralized access to client and sales information.

• Quote to Card: A digital marketplace for health and voluntary benefits.

• Policy Administration: Tools to manage all aspects of policy and member administration.

• Claims Administration: Automated claims processing for multiple lines of business.

• Data Analytics: Real-time insights and reporting through advanced data warehousing.

• Web Portal: Offering 24/7 access to benefits, plan comparisons, communications, and health and wellness initiatives.

Together, these capabilities help organizations modernize operations, speed up implementation, and reduce cost and risk.

Client Success Story: A National Carrier's Digital Upgrade

A national voluntary benefits carrier recognized that its systems were limiting growth and service quality. Despite prior technological investments, it still relied on multiple legacy platforms and external vendors, which made administration inefficient and time-consuming

To solve these challenges, the carrier implemented EbixEnterprise to consolidate and automate key processes across policy administration, billing, and claims management.

A pilot program was used to validate performance and integration with existing workflows. The results were immediate and measurable:

• Electronic enrollment increased from 10% to 60%

• Paper invoices were replaced with digital billing,

• reducing turnaround from 14 days to 1 or 2 days

• 99% of payments were automated and posted within 24 to 48 hours

With manual processes greatly reduced, operations became faster, more accurate, and more profitable.

On-boarding dropped from 21 business days to just 3. Members, employers, agents, and administrators gained access to real-time data and self-service tools. The upgraded call center provided live chat, automated escalation, and integrated support with accurate, up-to-date information.

Evaluating Readiness for Digital Transformation

Digital transformation begins with understanding where it will have the most impact. Organizations should identify which processes would benefit most from automation, where manual steps slow operations, and where data accuracy could improve.

Automation should enhance a process, not just make a poor process faster. The goal is to create systems that are more reliable and easier to maintain.

Stakeholder engagement is essential. Transformation works best when employees understand the purpose, see the benefits, and have opportunities for input. Pilot programs can also help test and refine new systems before a full rollout.

Digital transformation should be viewed as an ongoing commitment to innovation and continuous improvement.

How EbixEnterprise Helps Organizations Transform

EbixEnterprise simplifies modernization by providing a single platform for managing health and voluntary benefits administration. Its private cloud infrastructure, built-in integrations, and flexible design allow organizations to reduce the number of tools and vendors while maintaining scalability and security.

By centralizing processes within one ecosystem, organizations can focus less on managing technology and more on serving customers and driving growth.

Learn More

To explore how EbixEnterprise can help your organization achieve digital transformation, contact us or click here to submit your information:

Jim Senge

Senior Vice President

Ebix Health Division

jim.senge@Ebix.com

Mark Brown

Vice President, Sales

Ebix Health Division

mark.brown@Ebix.com