Current Situation

Many insurance organizations grapple with age-old claims systems that are highly inflexible and hinder quick, transparent, and easy access to data to offer contextual claims services through different channels and settle claims faster.

Goals & Objectives for Digital Transformation

Invest in a fully automated, intuitive claim system for reporting, tracking, and settlement functions that can be delivered through multiple channels. Enable the management and easier access to core system data for claims processing. Integrate claims processes with functions of other departments and wider ecosystem partners for faster adjudication and settlement.

Technology Deployed

  • Modern cloud-enabled claims system
  • Channel and systems integration framework
  • Open architecture and standards
  • Modern APIs and app development frameworks

Use Case

Modernize or replace legacy claims systems for greater efficiencies and improved agility to meet the customer expectation to handle low-touch claims by themselves. Customers can submit a claim quickly and easily from multiple sources, including a claims submission app, and have the information updated and integrated during claim processing, resulting in faster payment.