Leen Auto-Adjudication Engine

An intelligent claims processing system that automates the adjudication of healthcare insurance claims using configurable business rules and validation logic.

Manual healthcare claim processing is time-consuming, error-prone, and costly. Insurance providers needed an automated system to validate claims against complex policy rules while maintaining accuracy and compliance.

Created a rules-based engine that automatically validates healthcare claims against policy guidelines, medical coding standards, and business rules. The system processes thousands of claims daily, flagging anomalies and automating approval workflows for valid claims.