What We Have Actually Built

A US-based healthcare services company needed to scale revenue cycle management, clinical coding, and provider operations to support a growing client base. Traditional outsourcing meant vendor dependency and quality inconsistency. They chose the COPO model: their entity, their employees, Reliable Group operating the infrastructure.

HIPAA-ready infrastructure was in place from day one. The India team now supports multiple end clients through the company’s own delivery model. Quality metrics match or exceed US benchmarks. The India operation forced more organizational maturity in one year than the previous decade of US-only operations. The team continues to grow, and the company now considers India a core part of its competitive advantage.

A major US telecom provider was locked into a vendor contract that gave them no ownership of institutional knowledge, no control over personnel, and annual price increases. They transitioned to a BOT model with Reliable Group: we built the center, hired the team, and ran operations until they were ready to take full ownership.

Within 90 days, the India center was operational. Within 18 months, the team had grown to 150+ professionals across network operations, customer service, and back-office functions. The company completed the transfer and now operates the center independently. Cost reduction of 42% against the previous vendor contract, with quality improvements across every function.

A US-based SaaS company was spending $4M annually on contracted engineering through a staffing vendor. The vendor owned the team, the knowledge, and the leverage. Every contract renewal came with a price increase and a retention risk.

They started with 8 engineers under FLEXI, writing production code from month one. By month six, the team had shipped two major features and first-year attrition was zero. They graduated to COPO at month eight. By month twelve: 50 engineers across full-stack development, QA, and DevOps. Same repos, same CI/CD pipeline, same code review standards as the US team. The vendor contract was not renewed. Direct cost savings funded a data engineering expansion in year two.

A PE-backed US services company needed to improve EBITDA without cutting capability. Traditional cost reduction had run its course. They deployed India operations under the COPO model: their entity from day one, Reliable Group managing setup, compliance, and talent acquisition.

The India center launched in 90 days. Within a year, 100+ professionals were handling operations, with documented SOPs, clean entity structure, and 12 months of quality track record. The operation was designed for exit from the start: acquirer-ready documentation, India-based management layer, and zero vendor dependency. The GCC is a balance sheet asset, not a cost line.

A US-based commercial bank needed to scale KYC/AML and loan servicing operations without adding domestic headcount. Outsourced operations meant audit exposure they could not control. They launched a COPO entity in India with Reliable Group managing setup, compliance infrastructure, and talent acquisition.

Within six months: 40 operations professionals onboarded across KYC remediation, loan boarding, and regulatory reporting. SOX-aligned controls in place from month one. Fully integrated with the bank’s US systems. By month nine, the India team was processing 60% of the bank’s KYC remediation volume at a direct cost savings that funded a second phase expansion into risk analytics.

A US healthcare organization needed to scale medical coding capacity while maintaining audit-ready compliance. They built a coding center in Hyderabad with Reliable Group handling infrastructure, HIPAA-ready compliance setup, and recruiting of certified coders (CPC, CCS, RHIA).

The center passed its first external audit with zero findings. Monthly chart volume exceeded 50,000 within the first year. The team codes across ICD-10, CPT, and HCC risk adjustment, integrated directly into the client’s EHR workflows.