SmartLight Analytics monitors healthcare claims for self-funded employers, identifying and removing wasteful spending through independent, ongoing analysis. Founded in 2016, the company reviews 100% of medical claims using proprietary inferential analytics and artificial intelligence to surface waste, fraud, and improper treatments.
The company combines algorithmic analysis with clinical expertise. Flagged claims receive expert review from clinicians who validate issues such as over-treatment and inappropriate provider behaviour, ensuring findings have clinical weight. This hybrid approach operates behind the scenes without requiring employees to change behaviour or interrupting their benefits.
SmartLight Analytics ranked No. 148 on the 2022 Inc. 5000 list and No. 16 among software companies that year. The company was founded by Asha George, who brings 23 years of experience in healthcare data analysis, and Dr. Franklin Baumann. The team includes professionals from healthcare, data science, fraud investigation, and insurance sectors.
