Improving Health Insurance Proposition Through Claims Performance Improvement
In health insurance, precision isn’t optional, it’s essential. Every process, policy, and data point directly affects people’s lives. Procurato helps insurers strengthen their operations, enhance claims performance, and deliver meaningful impact across the entire health insurance value chain.
Health insurance is the one area where there’s no room for mistakes – every decision affects people’s lives. Insurers face rising treatment costs, shifting demographics, and growing pressure to balance affordability with quality care. Coverage exclusions, workforce shortages, and increased regulatory demands only add to the challenge.
Data should be the foundation for improvement, yet it often sits fragmented across providers, insurers, and systems, limiting visibility and insight. Inconsistent coding, incomplete information, and disconnected networks make it difficult to manage performance, measure value, or understand the real drivers of cost and quality.
All this happens under increasing regulatory pressure and customer expectations for seamless, digitally enabled service. Insurers must find ways to balance financial sustainability with exceptional care – without compromising trust or outcomes.
With deep expertise across health claims, supply chains, and data analytics, Procurato helps insurers bring clarity, control, and efficiency to this complex landscape. Our work focuses on improving provider management, optimising claims performance, and delivering data-driven insights that support better care, better decisions, and better outcomes.
Starting with Clarity


Health insurance data is everywhere , but rarely connected. Information sits across hospitals, clinics, TPAs, and claims systems, making it hard to see the full picture. We begin by bringing structure and visibility to that data. Through cleansing, mapping, and validation, we establish a reliable baseline that highlights where costs, inefficiencies, and risks truly lie.
From Insight to Action

Once the data makes sense, we focus on improvement. We uncover what drives claims costs, delays, and inconsistent outcomes from fragmented provider networks and misaligned policies to contract variability and performance gaps. Using benchmarking, rate card analysis, and best-practice modelling, we translate these insights into clear strategy.
Building Sustainable Performance

Procurato then helps insurers act with precision and purpose, redesigning provider networks and improving claims performance. Our approach ensures that efficiency doesn’t come at the cost of care quality. And by embedding automation, dashboards, and continuous improvement frameworks, we make sure performance improvements last long after implementation.
At Procurato, we combine real industry expertise with technology that adds value. We speak the same language as your teams, avoiding consultancy complexity, and deliver insights in a clear, practical way.
Agile and adaptable, we stay aligned with your agenda even when challenges arise, always focused on delivering what we promise and leaving behind solutions that last.