ClaimsTRAC

WNS ClaimsTRAC is a Next Gen Workflow Platform for HealthCare Claims Pre-Processing, hosted on Cloud (Azure/AWS), and designed to transform the way Healthcare and Insurance enterprises handle claims. Customers expect speed and precision in claims processing. But constrained by legacy systems, the process is often delayed, error-filled and frustrating. Added to this are regulatory complexities, rising instances of fraud and high operational costs.

WNS ClaimsTRAC changes all that. By streamlining workflows with automation and AI-powered intelligence, our solution delivers cleaner claims, faster resolutions, lower manual efforts & costs with AI-driven data capture, validations, business rules, and real-time analytics.

The result is faster settlements, optimized costs and stronger customer trust. Made possible with WNS ClaimsTRAC.

• Architecture – Multi-tenant SaaS based architecture
• Smart Tools – Dynamic Forms, Letter Generation & Custom Query Builder
• Advanced Integrations – EDI (837 HCFA), Email ingestion, Azure Document Intelligence (OCR)
• Enhanced Security – 2FA / SSO / SAML enabled
• Performance Dashboards – Agent & QC monitoring, Self-Service / Member Portal
• Database Compatibility – SQL Server and PostgreSQL support for flexibility & scale

• Efficiency & Accuracy: Faster, automated, error-free claims.
• Cost Optimization: Reduced manual effort and rework.
• Customer Experience: Transparent, accurate, faster service.
• Compliance & Control: Built-in validations and audit trail.
• Real-Time Visibility: Dashboards for TAT, quality, and productivity.
• Scalable & Future-Ready: High-volume, AI-enabled platform.