Rocket^® Process Automation Brings RPA to IBM^® i/zSystems^® 

Company

Industry: Healthcare

A major U.S. health insurance provider serving millions of customers with IBM i/zSystems core operational applications. 

Challenge

The claims process, primarily dependent on IBM i/zSystems, was stalling due to manual errors and inefficiencies. These challenges raised costs, produced compliance risks, and slowed processing times. 

Medical insurance claims represent an overwhelming volume of transactions and require timely and accurate resolutions to maintain customer and provider satisfaction. With manual claims intervention costing insurers millions annually and slowing reimbursement processes, the company needed a flexible, scalable solution to quickly adapt to evolving regulatory demands and streamline operations. 

Solution

Rocket Process Automation leverages RPA technology tailored for IBM i/zSystems, automating repetitive tasks to increase efficiency and reduce costs. 

Unlike traditional RPA tools, Rocket Process Automation seamlessly connects with IBM’s 3270 and 5250 protocols. Its automation detects errors, corrects them, and resubmits claims with precision. After just one to two weeks of training, the company deployed Rocket’s robots to streamline claims processing and boost efficiency.  

Rocket’s solution uses conditional logic and intelligent scripts for easy legacy system integration. Its self-service tools let users build robots after training, to fix inefficiencies and pave the way for ongoing improvements. 

Results

Rocket Process Automation delivered measurable improvements in operational efficiency, cost savings, and compliance. It became an indispensable asset in the claims processing environment. 

With fewer than a dozen robots implemented, the company increased its auto-adjudication rate from 82% to 94%. This improvement reduced manual claim interventions by 120k annually and generated $12M in savings across all processed claims, significantly exceeding their ROI expectations. Beyond financial benefits, processing times and compliance performance also improved, bolstering customer and provider satisfaction. 

Get started with Rocket Workflow and Process Automation

Ready to bring these benefits to your organization? Discover how Rocket Workflow and Process Automation can revolutionize your claims operations, delivering both rapid ROI and long-term efficiency.