#third-party-administrators

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#insurance #claims-automation #ai-agents #data-breach-settlements #protected-health-information
fromAlleywatch
1 week ago

Avallon Raises $4.6M to Automate Insurance Claims Operations with AI Agents

The US insurance industry faces a compounding crisis: the Bureau of Labor Statistics projects nearly 400,000 workers will leave through attrition by 2026, while claim volumes continue rising and operational complexity deepens. This staffing shortage hits third-party administrators particularly hard, as TPAs depend entirely on adjuster capacity to process claims, coordinate repairs, and manage the full lifecycle from intake to resolution.
Artificial intelligence
Privacy professionals
fromDataBreaches.Net
1 month ago

$19M in Settlements Underscore Cybersecurity Risks for TPAs and Insurers - DataBreaches.Net

TPAs and insurer partners agreed to multi-million-dollar settlements after alleged cybersecurity failures exposed millions' personal and health data in 2023 and 2024 breaches.
Business intelligence
fromMedCity News
6 months ago

7 Things Employers Should Be Doing to Fulfill Their Fiduciary Duty - MedCity News

Analyzing medical claims data is crucial for employers to fulfill fiduciary duties and manage employee benefits effectively.
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