Latest news with #PEAKMatrix®
Yahoo
5 days ago
- Business
- Yahoo
Appian Connected Claims 2.0 Transforms Insurance Claims Management with AI
Appian is named a 'Leader' in Everest Group's 'AI-enabled Claims Management Systems for Property & Casualty (P&C) Insurance – Products PEAK Matrix®' for 2025 LONDON, June 4, 2025 /PRNewswire/ -- Appian (NASDAQ: APPN) today announced the launch of Connected Claims 2.0, an AI-powered solution designed to provide a unified claims workflow. Everest Group also named Appian a Leader in AI-enabled Claims Management Systems for Property & Casualty (P&C) Insurance – Products PEAK Matrix® Assessment 2025. Connected Claims 2.0 leverages Appian's Case Management Studio, AI agents, and data fabric to offer streamlined, data-driven, and AI-powered automated processes. Driven by rapid digital transformation, the global insurance claims services processing market is projected to reach $638.3 billion by 2032. Connected Claims 2.0 will support insurers through this growth with a unified claims workflow that accelerates processing, enhances fraud detection, combats inconsistent handling, data management issues and improves customer satisfaction. Connected Claims 2.0 offers a fully integrated, AI-powered platform with customisable workflows and a superior user experience, featuring a single pane of glass, AI-powered data insights, real-time data access, and automated regulatory compliance management. Appian's Connected Claims solution brings powerful AI-driven support to every adjuster, making it easier to manage the demands of a document-heavy claims environment. With capabilities like data classification, document summarisation, contextual chat, and next-best-action recommendations, AI accelerates work and improves decision-making. The next generation of the solution introduces the Appian AI Document Centre, enabling users to easily train models to extract data from unstructured documents. This means faster intake, more accurate data capture, and seamless handoff for tasks like fraud detection and automated triage. Over time, users can achieve high accuracy and boost straight-through processing (STP) rates—freeing human experts to focus only on the most complex cases. The result is faster, smarter claims handling with less manual work. Trusted by companies like Aon, Canada Life, and Aviva, Appian has also been named a Leader in Everest Group's AI-enabled Claims Management Systems for Property & Casualty (P&C) Insurance – Products PEAK Matrix® Assessment 2025. The assessment considered several factors, including each provider's vision and strategy, technology capabilities, deployment flexibility, customer engagement models, support services, and overall value delivered. Appian's recognition as a Leader highlights its strength in embedding AI directly into processes. This approach enables insurers to easily access powerful AI capabilities exactly when and where they're needed—with just a few clicks. "Appian's Connected Claims solution, built on its low-code platform, combines AI-driven document processing, seamless third-party integrations, and configurable accelerators to deliver rapid time-to-value for P&C insurers," said Aurindum Mukherjee, Practice Director at Everest Group. "Strong integration support across payment, risk, and fraud systems, coupled with proven success driving accelerated business value for insurers and high client satisfaction for implementation and support, underpins Appian's position as a Leader in Everest Group's AI-enabled Claims Management Systems PEAK Matrix® Assessment 2025." "We are launching Appian Connected Claims 2.0 to meet the urgent need for speed and early value realisation as the insurance industry tackles complexity, " said Jake Sloan, Global Vice President of Insurance, Appian. "Our solution drives digital-first claims innovation, aligning with core admin cloud modernisation for early value realisation. It's configurable, rapidly deployable, and leverages the latest powerful AI in Process to accelerate cycles, combat fraud, and personalise customer experiences. Connected Claims 2.0 empowers insurers to transform operations, balancing efficiency and accuracy with superior customer satisfaction, truly leading the evolution of claims management." Connected Claims 2.0 supports insurance companies, from claims adjusters, fraud detection teams, customer service representatives, regulatory compliance teams, to IT and operations teams. About Appian Appian is The Process Company. We deliver a software platform that helps organisations run better processes that reduce costs, improve customer experiences, and gain a strategic edge. Committed to client success, we serve many of the world's largest companies across various industries. For more information, visit [Nasdaq: APPN] Follow Appian: LinkedIn, X (Twitter) DisclaimerLicensed extracts taken from Everest Group's PEAK Matrix® Reports, may be used by licensed third parties for use in their own marketing and promotional activities and collateral. Selected extracts from Everest Group's PEAK Matrix® reports do not necessarily provide the full context of our research and analysis. All research and analysis conducted by Everest Group's analysts and included in Everest Group's PEAK Matrix® reports is independent and no organization has paid a fee to be featured or to influence their ranking. To access the complete research and to learn more about our methodology, please visit Everest Group PEAK Matrix® Reports. About Everest GroupEverest Group is a leading global research firm helping business leaders make confident Group's PEAK Matrix® assessments provide the analysis and insights enterprises need to make critical selection decisions about global services providers, locations, and products and solutions within various market segments. Likewise, providers of these services, products, and solutions, look to the PEAK Matrix® to gauge and calibrate their offerings against others in the industry or market. Find further details and in-depth content at View original content: SOURCE Appian Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Cision Canada
13-05-2025
- Business
- Cision Canada
ProHance Named a Major Contender in Everest Group's 2025 People Analytics Platforms PEAK Matrix® Assessment
FRISCO, Texas, May 13, 2025 /CNW/ -- ProHance, a new-age leader in workplace analytics and operations enablement platform, has been named a Major Contender in the Everest Group People Analytics Platforms PEAK Matrix ® Assessment 2025. The study evaluated 23 distinct analytics platforms and placed ProHance at the forefront of the North American Enterprise and SMB landscape; and highlighted the critical role it plays in helping organizations drive productivity, optimize workforce performance and make data-informed decisions. The Everest Group PEAK Matrix ® is a renowned benchmark that evaluates technology providers based on market impact, vision and capability. ProHance's inclusion is based on its strong customer traction, measurable ROI, and ability to scale enterprise-wide across industries. "With U.S. companies increasingly navigating hybrid and distributed workforce challenges, ProHance stands out for delivering real-time visibility into work patterns, operational efficiency, and employee engagement —empowering business and HR leaders to act decisively in dynamic environments. We are happy to earn the Major Contender status in Everest Group's distinguished People Analytics Platforms PEAK Matrix ® Assessment," commented Ankur Dhingra, CEO, ProHance. "ProHance's recognition as a Major Contender in Everest Group's People Analytics Platforms PEAK Matrix ® Assessment 2025 is driven by its ability to offer real-time insights into workforce productivity with a robust set of inputs captured from work-level activity. The work-output module enables a normalized view of output across diverse worker categories, enabling a meaningful enterprise-wide comparison. In addition to helping improve productivity, it also focuses on mitigating risk by offering an AI-powered Retention Risk Index to support attrition management, positioning ProHance as a robust platform for catering to the needs of enterprise workforce analytics," said Sharath Hari N, Vice President at Everest Group. Enterprise clients across North America validate this strategic value. "ProHance's placement on the PEAK Matrix ® is a true reflection of our experience as a client. Among the many platforms we assessed, ProHance stood out as the most comprehensive solution — providing real-time, enterprise-wide visibility, actionable insights, and seamless operational enablement. It has helped us drive productivity, optimize resource utilization, improve workforce efficiency, and strengthen governance," says Martin Edgerton, Head of Global Service Delivery at JLL.
Yahoo
12-05-2025
- Business
- Yahoo
Cotiviti Named Highest-Designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix® Assessment 2025
Distinction marks third consecutive year Cotiviti has been positioned as a Leader in this category SALT LAKE CITY, May 12, 2025--(BUSINESS WIRE)--Cotiviti, a leader in data-driven healthcare solutions, has been named the highest-designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix® Assessment 2025. This recognition is a reflection of the combined market impact, vision, and capabilities delivered by Cotiviti's Payment Accuracy solutions. "As they strive to eliminate waste and ensure the accuracy and quality of their claims payments, health plans are increasingly looking for a payment accuracy partner that can deliver the breadth, depth, and scale they require across their numerous programs," said Emad Rizk, M.D., president and CEO of Cotiviti. "This achievement underscores Cotiviti's unwavering commitment to both prepayment and postpayment integrity as well as our market-leading client services, which eliminated over $9.5 billion in payment waste from the healthcare system in 2024 through the prevention of improper claims, which can enable those funds to be redirected toward appropriate member care and populations in need." "With healthcare fraud and billing errors costing the U.S. system billions of dollars annually, payers are intensifying efforts to adopt proactive payment integrity strategies that span the full claims lifecycle," said Ankur Verma, vice president at Everest Group. "Cotiviti brings a comprehensive breadth of experience across payer types and addresses both pre and postpay needs through a comprehensive solution suite. Its clients cite strong value, robust relationship management, and a deep commitment to performance as key differentiators. Investments in product innovation and the formalization of an AI Center of Excellence further aided in its positioning as a Leader in Everest Group's Payment Integrity Solutions PEAK Matrix® Assessment 2025." Everest Group's PEAK Matrix® is a globally recognized assessment that evaluates organizations based on key factors such as vision, capabilities, functionality, talent availability, market success, impact, and cost-effectiveness. Cotiviti has been recognized as a Leader in payment integrity solutions for each of the three years that this assessment has been published. This year, the company earned the position of the highest-designated Leader, reflecting its continuous innovation, commitment to accuracy, and proven success in delivering value to clients. Cotiviti has been a leader in payment integrity for over 25 years and serves more than 100 payer clients with Payment Accuracy solutions, including top national health plans, regional and community plans, Blue Cross Blue Shield Plans, third-party administrators, CMS, and state Medicaid agencies. "By offering full-service solutions across the payment continuum, driven by clinical expertise and advanced technologies including artificial intelligence and natural language processing, Cotiviti delivers total value, meaningful innovation, and deep expertise to each of our customers," said Christopher Coloian, executive vice president of revenue and growth for Cotiviti. "This recognition highlights what truly distinguishes Cotiviti: our differentiated technology, content and service model that underpins our clients' ability to administer benefits and accurately pay for services for their members." Cotiviti's Payment Accuracy solutions include prepay claim editing and coding validation; fraud, waste, and abuse prevention and recovery; clinical coding validation; coordination of benefits; and data mining. Prepay claim editing customers also have access to Cotiviti's industry-leading cross-payer analytics and benchmarks, delivering claim and provider insights to empower health plans to make more informed payment policy decisions based on what's happening across the entire market. The Everest Group report offering an overview of Cotiviti's payment integrity solutions is available on Cotiviti's website for health plan professionals to download and read. About Cotiviti Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. Cotiviti's solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, and consumer engagement programs. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit Disclaimer Licensed extracts taken from Everest Group's PEAK Matrix® Reports, may be used by licensed third parties for use in their own marketing and promotional activities and collateral. Selected extracts from Everest Group's PEAK Matrix® reports do not necessarily provide the full context of our research and analysis. All research and analysis conducted by Everest Group's analysts and included in Everest Group's PEAK Matrix® reports is independent and no organization has paid a fee to be featured or to influence their ranking. To access the complete research and to learn more about our methodology, please visit Everest Group PEAK Matrix® Reports. About Everest Group Everest Group is a leading global research firm helping business leaders make confident decisions. Everest Group's PEAK Matrix® assessments provide the analysis and insights enterprises need to make critical selection decisions about global services providers, locations, and products and solutions within various market segments. Likewise, providers of these services, products, and solutions, look to the PEAK Matrix® to gauge and calibrate their offerings against others in the industry or market. Find further details and in-depth content at View source version on Contacts Media Contact: Corey PatchkofskyAria Marketing for Cotiviticpatchkofsky@ 203-710-2296 Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Yahoo
12-05-2025
- Business
- Yahoo
Cotiviti Named Highest-Designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix® Assessment 2025
Distinction marks third consecutive year Cotiviti has been positioned as a Leader in this category SALT LAKE CITY, May 12, 2025--(BUSINESS WIRE)--Cotiviti, a leader in data-driven healthcare solutions, has been named the highest-designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix® Assessment 2025. This recognition is a reflection of the combined market impact, vision, and capabilities delivered by Cotiviti's Payment Accuracy solutions. "As they strive to eliminate waste and ensure the accuracy and quality of their claims payments, health plans are increasingly looking for a payment accuracy partner that can deliver the breadth, depth, and scale they require across their numerous programs," said Emad Rizk, M.D., president and CEO of Cotiviti. "This achievement underscores Cotiviti's unwavering commitment to both prepayment and postpayment integrity as well as our market-leading client services, which eliminated over $9.5 billion in payment waste from the healthcare system in 2024 through the prevention of improper claims, which can enable those funds to be redirected toward appropriate member care and populations in need." "With healthcare fraud and billing errors costing the U.S. system billions of dollars annually, payers are intensifying efforts to adopt proactive payment integrity strategies that span the full claims lifecycle," said Ankur Verma, vice president at Everest Group. "Cotiviti brings a comprehensive breadth of experience across payer types and addresses both pre and postpay needs through a comprehensive solution suite. Its clients cite strong value, robust relationship management, and a deep commitment to performance as key differentiators. Investments in product innovation and the formalization of an AI Center of Excellence further aided in its positioning as a Leader in Everest Group's Payment Integrity Solutions PEAK Matrix® Assessment 2025." Everest Group's PEAK Matrix® is a globally recognized assessment that evaluates organizations based on key factors such as vision, capabilities, functionality, talent availability, market success, impact, and cost-effectiveness. Cotiviti has been recognized as a Leader in payment integrity solutions for each of the three years that this assessment has been published. This year, the company earned the position of the highest-designated Leader, reflecting its continuous innovation, commitment to accuracy, and proven success in delivering value to clients. Cotiviti has been a leader in payment integrity for over 25 years and serves more than 100 payer clients with Payment Accuracy solutions, including top national health plans, regional and community plans, Blue Cross Blue Shield Plans, third-party administrators, CMS, and state Medicaid agencies. "By offering full-service solutions across the payment continuum, driven by clinical expertise and advanced technologies including artificial intelligence and natural language processing, Cotiviti delivers total value, meaningful innovation, and deep expertise to each of our customers," said Christopher Coloian, executive vice president of revenue and growth for Cotiviti. "This recognition highlights what truly distinguishes Cotiviti: our differentiated technology, content and service model that underpins our clients' ability to administer benefits and accurately pay for services for their members." Cotiviti's Payment Accuracy solutions include prepay claim editing and coding validation; fraud, waste, and abuse prevention and recovery; clinical coding validation; coordination of benefits; and data mining. Prepay claim editing customers also have access to Cotiviti's industry-leading cross-payer analytics and benchmarks, delivering claim and provider insights to empower health plans to make more informed payment policy decisions based on what's happening across the entire market. The Everest Group report offering an overview of Cotiviti's payment integrity solutions is available on Cotiviti's website for health plan professionals to download and read. About Cotiviti Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. Cotiviti's solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, and consumer engagement programs. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit Disclaimer Licensed extracts taken from Everest Group's PEAK Matrix® Reports, may be used by licensed third parties for use in their own marketing and promotional activities and collateral. Selected extracts from Everest Group's PEAK Matrix® reports do not necessarily provide the full context of our research and analysis. All research and analysis conducted by Everest Group's analysts and included in Everest Group's PEAK Matrix® reports is independent and no organization has paid a fee to be featured or to influence their ranking. To access the complete research and to learn more about our methodology, please visit Everest Group PEAK Matrix® Reports. About Everest Group Everest Group is a leading global research firm helping business leaders make confident decisions. Everest Group's PEAK Matrix® assessments provide the analysis and insights enterprises need to make critical selection decisions about global services providers, locations, and products and solutions within various market segments. Likewise, providers of these services, products, and solutions, look to the PEAK Matrix® to gauge and calibrate their offerings against others in the industry or market. Find further details and in-depth content at View source version on Contacts Media Contact: Corey PatchkofskyAria Marketing for Cotiviticpatchkofsky@ 203-710-2296 Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Business Wire
12-05-2025
- Business
- Business Wire
Cotiviti Named Highest-Designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix
SALT LAKE CITY--(BUSINESS WIRE)-- Cotiviti, a leader in data-driven healthcare solutions, has been named the highest-designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix ® Assessment 2025. This recognition is a reflection of the combined market impact, vision, and capabilities delivered by Cotiviti's Payment Accuracy solutions. 'Cotiviti brings a comprehensive breadth of experience across payer types and addresses both pre and postpay needs through a comprehensive solution suite." Share 'As they strive to eliminate waste and ensure the accuracy and quality of their claims payments, health plans are increasingly looking for a payment accuracy partner that can deliver the breadth, depth, and scale they require across their numerous programs,' said Emad Rizk, M.D., president and CEO of Cotiviti. 'This achievement underscores Cotiviti's unwavering commitment to both prepayment and postpayment integrity as well as our market-leading client services, which eliminated over $9.5 billion in payment waste from the healthcare system in 2024 through the prevention of improper claims, which can enable those funds to be redirected toward appropriate member care and populations in need.' 'With healthcare fraud and billing errors costing the U.S. system billions of dollars annually, payers are intensifying efforts to adopt proactive payment integrity strategies that span the full claims lifecycle,' said Ankur Verma, vice president at Everest Group. 'Cotiviti brings a comprehensive breadth of experience across payer types and addresses both pre and postpay needs through a comprehensive solution suite. Its clients cite strong value, robust relationship management, and a deep commitment to performance as key differentiators. Investments in product innovation and the formalization of an AI Center of Excellence further aided in its positioning as a Leader in Everest Group's Payment Integrity Solutions PEAK Matrix ® Assessment 2025.' Everest Group's PEAK Matrix ® is a globally recognized assessment that evaluates organizations based on key factors such as vision, capabilities, functionality, talent availability, market success, impact, and cost-effectiveness. Cotiviti has been recognized as a Leader in payment integrity solutions for each of the three years that this assessment has been published. This year, the company earned the position of the highest-designated Leader, reflecting its continuous innovation, commitment to accuracy, and proven success in delivering value to clients. Cotiviti has been a leader in payment integrity for over 25 years and serves more than 100 payer clients with Payment Accuracy solutions, including top national health plans, regional and community plans, Blue Cross Blue Shield Plans, third-party administrators, CMS, and state Medicaid agencies. 'By offering full-service solutions across the payment continuum, driven by clinical expertise and advanced technologies including artificial intelligence and natural language processing, Cotiviti delivers total value, meaningful innovation, and deep expertise to each of our customers,' said Christopher Coloian, executive vice president of revenue and growth for Cotiviti. 'This recognition highlights what truly distinguishes Cotiviti: our differentiated technology, content and service model that underpins our clients' ability to administer benefits and accurately pay for services for their members.' Cotiviti's Payment Accuracy solutions include prepay claim editing and coding validation; fraud, waste, and abuse prevention and recovery; clinical coding validation; coordination of benefits; and data mining. Prepay claim editing customers also have access to Cotiviti's industry-leading cross-payer analytics and benchmarks, delivering claim and provider insights to empower health plans to make more informed payment policy decisions based on what's happening across the entire market. The Everest Group report offering an overview of Cotiviti's payment integrity solutions is available on Cotiviti's website for health plan professionals to download and read. About Cotiviti Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. Cotiviti's solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, and consumer engagement programs. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit Disclaimer Licensed extracts taken from Everest Group's PEAK Matrix ® Reports, may be used by licensed third parties for use in their own marketing and promotional activities and collateral. Selected extracts from Everest Group's PEAK Matrix ® reports do not necessarily provide the full context of our research and analysis. All research and analysis conducted by Everest Group's analysts and included in Everest Group's PEAK Matrix ® reports is independent and no organization has paid a fee to be featured or to influence their ranking. To access the complete research and to learn more about our methodology, please visit Everest Group PEAK Matrix ® Reports. Everest Group is a leading global research firm helping business leaders make confident decisions. Everest Group's PEAK Matrix ® assessments provide the analysis and insights enterprises need to make critical selection decisions about global services providers, locations, and products and solutions within various market segments. Likewise, providers of these services, products, and solutions, look to the PEAK Matrix ® to gauge and calibrate their offerings against others in the industry or market. Find further details and in-depth content at
