This session shares how an employer adopted a comprehensive approach to payment integrity—with independent claims oversight as a critical pillar. By partnering with SmartLight Analytics, the employer has driven meaningful, measurable savings. Real case studies illustrate root causes that continuous monitoring uncovers, and what it takes to hold carriers and TPAs truly accountable.

Key Takeaways:
•    Why traditional claims auditing methods are structurally limited and leave significant overpayments uncaptured
•    How claims integrity monitoring differs from periodic auditing approaches
•    Real case studies illustrating the types of hidden waste that continuous monitoring uncovers
•    Practical guidance for plan sponsors seeking to bridge the gap between carrier knowledge and employer cost accountability