COGNATIV – HEALTH INSURANCE

RAPID Digital Transformation Turns Spreadsheet Chaos into Integrated Insight Engine

FAST FACTS

Industry:

Health Insurance and Payer Operations

Specialty:

Multi-vendor claims, data aggregation, and business reporting

Solution:

Integrated data services and normalized analytics platform

Users:

Finance, operations, claims analysts, compliance, and executive leadership

ABOUT THE PROJECT

A mid-sized health insurance company found itself flying blind. With multiple data sources, redundant reporting systems, and massive spreadsheet chains, decision-making was reactive and unreliable. Executives lacked a single source of truth. Each department used its own numbers.

PROJECT IDEA

  • Replace fragile spreadsheet chains with a centralized, normalized data warehouse.
  • Establish standardized business definitions across all departments (revenue, cost, claims).
  • Enable drillable, Excel-compatible dashboards that support executive and operational decision-making.

PROJECT CHALLENGES

  • No Unified Reporting Model: Departments relied on their own spreadsheets, creating misalignment and conflicting KPIs.
  • Data Source Fragmentation: Information lived in multiple, disconnected systems: billing, claims, eligibility, finance.
  • Long, Manual Reporting Cycles: Each month required manual data pulls, merges, and validations—delaying insight.
  • High Error Rates: Broken spreadsheet chains led to inconsistent data and significant rework..

RESULTS

  • Replaced over 50 interlinked spreadsheets with a normalized analytics environment.
  • Reduced reporting cycle time by 80%, enabling faster decisions and reduced effort.
  • Improved operational alignment—teams now use the same source of truth.
  • Increased analytics adoption across finance, claims, and executive teams.

BUSINESS CHALLENGES

The company’s core services were solid—but its infrastructure was brittle. Each department managed its own version of the truth. Finance and claims teams used different definitions for revenue. Reports were updated manually. Decisions were often based on outdated or misaligned data.

This wasn’t a case of bad people—it was a case of bad architecture. Over time, spreadsheet dependencies had grown into an unmanageable web of references and assumptions. If one formula broke, dozens of dashboards collapsed. Trust eroded. Disagreements in meetings weren’t about strategy—they were about whose numbers were “correct”. Leadership knew it had to fix the foundation. But attempts to buy reporting tools or hire data analysts had failed. They didn’t need a tool. They needed a rethink.

WHY INSURERS TRUST COGNATIV?

Cognativ helps healthtech and data-rich companies unlock the value of the assets they already manage. Whether you're trapped in vendor positioning or scaling a newly realized data advantage, our RAPID and SmartSaaS™ frameworks turn operations into product—and product into strategic value. We’ve helped payers, providers, and benefits firms reposition for higher multiples, stronger growth, and new category leadership.

NO UNIFIED REPORTING MODEL

Each team had its own approach, its own spreadsheets, and its own definitions—creating misalignment and conflict.

DATA SOURCE FRAGMENTATION

Key data lived across billing systems, claims processors, eligibility tools, and third-party platforms—with no integration layer.

LONG, MANUAL REPORTING CYCLES

Each report required hours of prep, validation, and reconciliation—just to reach “good enough”.

HIGH ERROR RATES

Referential chains spanned 10+ spreadsheets deep. A single mistake could derail a week’s worth of work.

NO REAL-TIME VISIBILITY

Executives had no way to explore or drill down into anomalies. Answers required days—not minutes.

EXCEL DEPENDENCY

Despite modern tools, users preferred Excel. But it was being misused as a database.

THE SOLUTION

Cognativ executed a full RAPID transformation to modernize data architecture without disrupting daily operations.

  • Phase 1: Conducted a complete discovery across departments. Mapped every data source, spreadsheet, and report. Documented overlapping definitions and user expectations..
  • Phase 2: Built a unified data warehouse that ingested, normalized, and standardized data from all systems. Created a business glossary: revenue = revenue, cost = cost, claims = claims—across the board. Delivered dashboards that were Excel-compatible but powered by a centralized logic layer. Users could interact with familiar tools while accessing consistent, governed data.
  • Architecture: The platform featured a modular ETL pipeline, layered semantic models, and governed metrics accessible via Excel plug-ins and web dashboards. It respected user habits while improving trust and transparency.

HOW RAPID WAS USED...

"“They weren’t broken—they were blind. RAPID helped us reframe their problem, structure the right foundation, and deliver systems that gave leaders confidence to act again.” "

– Ali Davachi, Cognativ Founder

What is the RAPID Framework?

RAPID transformation book by Ali Davachi

RAPID —Research, Analyze, Plan, Implement, Decide— is Cognativ’s transformation playbook. It’s the reason our projects succeed where others stall. From discovery to delivery, RAPID ensures alignment between systems, people, and strategy. Featured in RAPID Transformation: An Outcomes-Based Approach to Drive Results.

Get The Book

RESULTS OBTAINED

Cognativ partnered with the organization to design and implement an integrated data platform using the RAPID transformation methodology. The solution normalized financial and operational metrics across systems, built custom dashboards tailored to executive and team workflows, and eliminated the company’s reliance on fragile spreadsheets. The result: better visibility, faster decision-making, and a sustainable analytics foundation that allowed the organization to scale, comply, and compete.

80%

Reduction in Report Prep Time

Teams now spend time analyzing, not formatting—cutting cycles from days to hours.

100%

Metrics Alignment

Departments use the same definitions for KPIs—reducing confusion and boosting credibility.

EXCEL

Front-End Adoption

Reports live in Excel where users prefer to work—but data is governed, secure, and refreshable.

BETTER

Strategic Decisions

Executives now have access to real-time dashboards and drill-downs, not stale spreadsheets.

IMMEDIATE BENEFITS

  • Cleaner Executive Reporting: Board decks are consistent, trusted, and aligned across departments.
  • Faster Insights: Business users can explore data without waiting on IT or analysts.
  • Data-Driven Culture: Stakeholders trust the numbers—and act with confidence.
  • Reduced Risk: Audit trails, permissions, and validation logic reduce compliance exposure.

ONGOING BENEFITS

  • The company now evolves with new metrics and use cases—without breaking reporting logic.
  • Excel continues as the front-end—but users now interact with a secure, centralized system.
  • Operational meetings are no longer about "fixing the numbers"—they’re about solving the problems.
  • The insurer is building predictive models on top of the normalized data—unlocking future capabilities.

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Your Operations?

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