Client Success Story

Health Insurance Provider Recovers Over $2.7M

Company Facts
Location --------- USA
Industries ------- Health Insurance

Industry Overview
The company provides cost containment solutions for self-insured employers. They work towards optimizing healthcare costs and improving outcomes through various strategies, including network access, claims management, provider negotiations, and data analytics.

Challenge   Untitled-1-1

This client’s historical chargeback ratio was consistently at or exceeding their thresholds, especially during periods of open enrollment. Their primary concern was recovering lost revenue from disputes while remaining HIPAA compliant.

Approach   Approach

We analyzed the chargeback data and discovered operational inefficiencies leading to customer dissatisfaction. We also found gaps in client data-capture initiatives, hindering transaction tracking. We worked to improve the strength and relevence of evidence submitted, reducing the occurrence of second chargebacks.

Solution  3-Oct-27-2025-11-52-54-8771-AM 

We utilized Smart Chargeback Representment™ to dispute chargebacks and our proprietary CBG platform to aggregate the data. We collaborated with the provider's internal teams to institute customer outreach initiatives and implement datacapture policies, resulting in Custom Dispute Packages that better suited their needs.

$2.7M

Recovered

63%

Recovery Rate

100%

Chargeback Coverage

"The money Gurus recovered for us could easily fund an additional department here."

- Finance & Risk Management