Simplify Healthcare SVP on Revolutionizing Claims Processing with AI and Automation

  • Podcast Podcast
  • September 26, 2025
Jarrod Mandozzi

Curatus, Chief Revenue Officer & Co-Founder

Member

Can AI and automation finally untangle the complex web of healthcare claims processing? In this podcast hosted by Cognizant Sr Product Director Chenny Solaiyappan, Simplify Healthcare SVP Daniel Knies unveils how their innovative suite is revolutionizing claims processing with AI and automation. He shares how their solutions can reduce claims processing time from 60 days to just 8 days, eliminate manual data entry, and bring real-time efficiency to insurance companies across different market segments.

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Show Notes

  1. Current medical claims processing can take up to 30 days, compared to real-time pharmacy claims
  2. FHIR standards are pushing healthcare towards more real-time, interoperable systems
  3. Claims One product translates complex benefit configurations across different insurance platforms
  4. AI can automate claims testing and configuration processes
  5. Benefits One helps manage benefit plan filing for Medicare, Medicaid, and commercial markets
  6. Provider One standardizes provider data management and credentialing
  7. Simplify Healthcare’s solutions reduce manual data entry by up to 90%
  8. Claims configuration can be reduced from 60 days to 8-10 days using their technology
  9. AI helps prevent “configuration bloat” in claims adjudication platforms
  10. The company uses agile methodologies to foster innovation
  11. Real-time claims processing is the future of healthcare technology
  12. Their products are line-of-business agnostic across insurance markets
  13. AI can help generate automated test suites for benefit plan changes
  14. Staying relevant in technology requires deep industry understanding
  15. Healthcare IT is complex, with multiple interconnected systems
  16. Their Experience One platform uses AI for customer service interactions
  17. Continuous feedback and R&D are critical for product development
  18. Technology can help reduce overall healthcare costs
  19. Interoperability is key to improving healthcare workflows
  20. AI and automation are transforming healthcare IT infrastructure

About the speaker

Jarrod Mandozzi
Curatus, Chief Revenue Officer & Co-Founder

With over 20 years of health care leadership and 25 years of experience in sales, client services, marketing, management, and strategy, Jarrod Co-Founded Curatus in 2019 with Mark Fabiano and Cory Fabiano with the aim to revolutionize provider data management. Previously Jarrod served as a part of the Executive leadership team for Altegra Health and as the Chief Sales Officer at Altegra Health after the acquisition by Change Healthcare.

Member

About the host

Chenny Solaiyappan
Mphasis, Vice President

Chenny Solaiyappan is a seasoned product and venture leader with nearly three decades of experience building and scaling enterprise healthcare and government technology platforms. He is currently Vice President, Products at Mphasis, where he is focused on transforming core claims administration platforms into scalable, AI-enabled learning health system for the commercial, self-funded, and TPA markets.

Previously, Chenny spent over 15 years at Cognizant’s TriZetto Product House, where he founded, built, and scaled the ClaimSphere® suite of products and pioneered the Quality-as-a-Service (QaaS) business model. His work helped health plans unlock more than $1B in value-based payments, while repositioning quality measurement from a regulatory obligation into a Learning Health System. Today, ClaimSphere supports tens of millions of lives across leading U.S. health plans.

A recognized thought leader in value-based care, digital quality measurement (dQM), HEDIS, CMS Stars, FHIR interoperability, and population health analytics, Chenny has played a key industry role as HL7 Da Vinci Business Co-Chair for the TriZetto portfolio. He regularly speaks at national forums including NCQA, RISE, AHIP, INFORMS, and Health Plan Alliance.

Chenny is also the host of the Care Catalyst Podcast, where he interviews healthcare executives, innovators, and policymakers on the future of whole-person care, AI, and health equity. He brings an Entrepreneur-in-Residence mindset to large enterprises—combining strategy, product execution, and storytelling to transform complex systems into scalable, customer-centric platforms.

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