根据风险偏好和承受能力采取行动
公司规模
Large Corporate
地区
- America
国家
- United States
产品
- LogicManager
技术栈
- Enterprise Risk Management Software
实施规模
- Enterprise-wide Deployment
影响指标
- Cost Savings
- Customer Satisfaction
技术
- 应用基础设施与中间件 - 数据交换与集成
适用行业
- 医疗保健和医院
适用功能
- 商业运营
服务
- 系统集成
- 数据科学服务
关于客户
该客户是一家大型健康计划提供商，为该州一半以上的人口提供保险。该客户拥有超过 500,000 名会员，与国家质量保证委员会 (NCQA) 等行业合作伙伴合作，继续为其会员提供负担得起的计划。该客户通过支持社会福利和增加医疗保健服务机会的附属非营利基金会扩大其影响力。该公司是一家非营利组织，拥有 1,000 - 5,000 名员工，收入为 29 亿美元。该公司从事保险业。
挑战
这家健康保险提供商正面临严重的现金流中断，原因是大客户突然流失到竞争对手手中，尤其是在续约期间。该公司拥有多个部门和产品，并使用电子表格向首席财务官报告单独的账户收入和成本数据。将收入与直接成本联系起来、汇总这些信息并跟踪一段时间内的数据是容易出错且耗时的流程。产品使用的跨职能性质和重复计算数据使得结果难以准确解释。
解决方案
客户使用 LogicManager 监控来自多个系统的收入和直接成本，汇总这些信息以跟踪一段时间内的数据。以图表形式可视化这些趋势可以提供更清晰的画面。客户发现现金流问题的主要原因是竞争对手收购现有会员，尤其是在续签大账户期间。为了应对新的数据收集方法，客户能够设定关键账户损失的风险容忍度及其对现金流的影响。正式的风险容忍度使风险经理能够建立业务案例，以开发和部署旨在减少客户索赔并防止保险费上涨的教育计划。
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