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Managed Operations

Operations teams supported by AI agents.

We run claims processing, assistance desk and cost-containment operations. AI agents handle the high-volume routine work and our trained teams handle the decisions.

claims-intake-agent · audit log

  1. INTAKEReceived invoice · Portuguese · PDF scan
  2. OCRDocument classified as hospital invoice
  3. TRANSLATELine items translated to English
  4. EXTRACTProvider, dates, line items, currency captured
  5. CHECKPolicy active · no duplicate found
  6. FLAGRoom charge above contracted rate, reason attached
  7. REVIEWAssigned to bill reviewer for confirmation
  8. DONEDecision-ready claim · full audit trail
Illustrative audit log

Overview

One team for the agents and the operations

Sthiram started as an operations company, and we still run operations today. Our teams review, approve, make calls and check quality, while our agents take on the repetitive work.

That gives you one accountable partner for the whole process, under the controls of an ISO 27001 & 9001 lead-auditor-led practice.

Capabilities

What we deliver

  • Claims processing

    Intake, OCR document review, data entry and adjudication support for travel, health and provider claims.

  • 24/7 assistance desk

    Multilingual inbound and outbound calling, case updates and warm handoffs from voice agents.

  • Cost containment

    Medical bill review, repricing support and review of duplicate and FWA flags.

  • GOP processing

    Guarantee-of-payment preparation and tracking, approved by your medical team.

  • Quality assurance

    Sampling, scoring and feedback loops across agents and people.

  • Healthcare back office

    Provider claims, OASIS-based coding and medical records management.

What we run

Managed services

Claims processing

From the first document to a decision-ready claim, with an intake agent doing the keying and our reviewers doing the checking.

  • Claims intake and data entry
  • OCR document review
  • Multilingual invoice processing
  • Adjudication support
  • Quality assurance sampling

Agents + people

Where agents fit

We add agents only where they clearly help. You can work with our teams without using agents at all.

  • Intake agent

    Reads, translates and structures documents before our reviewers see them.

  • Voice agents

    Take routine inbound and outbound calls and hand over to our desk.

  • Bill-review agent

    Prepares line-item flags and worksheets for our reviewers.

  • QA assistant

    Scores every interaction so people review the right samples.

How it works

How a transition works

  1. 01

    Discover

    We shadow your team, document the process and agree service levels.

  2. 02

    Design

    Procedures, controls, handoffs and reporting, agreed before go-live.

  3. 03

    Transition

    Knowledge transfer and a parallel run, so nothing drops.

  4. 04

    Operate

    Our teams run the process, around the clock where needed.

  5. 05

    Improve

    Agents are introduced step by step where they measurably help.

FAQ

Questions about managed operations

Can we start with people only and add agents later?

Yes. Many clients start with a managed team and add agents once the process is stable and the evidence supports it.

Where are your teams based?

Our delivery teams work from Hyderabad, India, including our development centre at T-Hub. We also have a presence in the USA.

Can your team work inside our systems?

Yes. We typically work in your claims, case and telephony systems under your access controls and audit logs.

How do you protect data?

Our practice is led by an ISO 27001 & 9001 Lead Auditor. Access is least-privilege, activity is logged, and processes are aligned with GDPR and HIPAA where they apply.

Next step

Talk to our team

Sthiram · Efficiency with stability