How SmartRules™ Engine Delivered 99% Accuracy in RFPs, Saved 3X the Time, and Boosted Underwriting Efficiency for a Tampa-Based Company

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At a Glance

During the hectic underwriting season of November and December, a Tampa-based employee benefits carrier found themselves buried under an overwhelming surge of RFPs (Requests for Proposals). As their client base rapidly expanded, the volume of proposals skyrocketed, and their manual processes couldn’t keep up. The underwriting team spent countless hours on repetitive tasks—data entry, risk assessments, and rule application—leaving no time to focus on strategic, client-focused work.

Client-specific needs, such as handling different locations, unique scenarios, and complex coverage options, were often neglected as the team struggled to keep up with the ever-growing workload. The backlog led to delays in decision-making, missed opportunities, and a decline in client satisfaction, pushing the company into a crisis that threatened their ability to deliver on time.

Challenges:
Caught in the Underwriting Web?

The underwriting team faced a series of growing challenges that not only hindered efficiency but also compromised the accuracy of their RFPs and the overall decision-making process. Some of the key challenges they encountered included:

72%

Burden of High Volume

The underwriting team was hit with an overwhelming number of RFPs, each requiring detailed attention. Despite their commitment, the team was constantly behind, and the growing workload left little time for the higher-priority cases and complex decision-making. The volume of work became unsustainable, leading to slower responses and an inability to keep up with their core responsibilities.

55%

Limited Time for High-Risk Cases

Manual tasks consumed the team’s time. The team of underwriters reported that they didn’t have enough bandwidth to focus on high-risk cases. The pressure from routine work delayed critical interventions, making it harder to manage risks effectively and offer customized solutions. Complex client needs were often ignored in favor of routine tasks, impacting the quality of the underwriting process.

30%

Claim Inefficiencies

Pricing errors due to the manual rule application caused the company to face unexpected claims. As a result, the underwriting team struggled with inaccurate risk assessments. These errors led to higher-than-expected claims and, ultimately, to a drain on profit margins. The company knew they had to improve accuracy, but with their current system, financial stability continued to be at risk.

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Pathway to a Smarter Solution: Automation to the Rescue

To tackle these challenges and scale effectively, the company knew they had to find a solution that would not only automate their underwriting tasks but also improve accuracy and ensure consistency in their risk assessments. The pressure was mounting, and the team couldn’t keep up with the growing volume of RFPs, so they started exploring various solutions.

“We were looking for something far more effective, and that’s where we found DataHub.insure”

Intrigued by the promise of a smoother underwriting process, they came across DataHub.insure—and everything changed. The solution quickly impressed them with how it could transform their chaotic workflow into a calm, efficient process. They decided to take the plunge and try out the technology that promised to be the answer to their problems.

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How SmartRules™ Engine Addresses Every Need?

To address the company’s escalating challenges, SmartRules™ Engine automated the most time-consuming underwriting tasks, significantly enhancing efficiency while maintaining accuracy and consistency.

Automated Rule Application for Consistent Decision-Making

By setting predefined rules once, SmartRules™ Engine automatically applies them across all RFPs, ensuring uniform decision-making for all group sizes and maintaining accuracy throughout the process.

Efficient Processing at Any Scale

Whether dealing with 100 or 10,000 RFPs, SmartRules™ Engine processes them consistently and precisely, drastically reducing bottlenecks and increasing overall workflow efficiency.

Flexibility in Handling Special Cases

While automating most of the underwriting process, SmartRules™ Engine offers underwriters the flexibility to override rules when necessary, allowing for tailored decisions while benefiting from automation.

Ensuring Accuracy with Tailored Business Rules

SmartRules™ Engine ensures each RFP is evaluated according to the correct qualification rules for its specific group type, eliminating the need for second-guessing and ensuring reliable, accurate decisions every time.

The Results
Efficiency, Accuracy and Growth

99.9%

Accuracy

Eliminated human errors through consistent rule application, ensuring precise risk assessments.

80%

Faster Processing

Automated underwriting led to a significant reduction in decision time, speeding up the entire process.

60%

Higher Portfolio Reviews

Increased capacity to review more portfolios without additional resources, improving workflow efficiency.

Why SmartRules™ Engine Was the Perfect Fit?

Automation of Repetitive Tasks

Scalability

Accuracy and Consistency

Flexibility

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The Impact: Empowering Underwriting Teams for Greater Success

Implementing SmartRules™ Engine transformed the way the health plan handled underwriting. By automating the repetitive tasks—like rule application and risk scoring—the team could process RFPs faster and with greater accuracy, freeing up time that was previously lost on manual work. With these tasks automated, underwriters were able to focus on high-risk cases, offering more personalized client solutions, and ultimately improving their overall efficiency. The team now had the time and tools to make smarter decisions and build stronger client relationships.

“Switching to SmartRules™ Engine was a game-changer for our underwriting process. The automation of rule application reduced processing time by 80%, enhanced decision consistency, and allowed us to focus on high-priority, high-risk cases. The team is now more efficient, and we can scale our operations effortlessly.”
– Chief Underwriting Officer at Tampa-based company

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