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Improving Insurance Operations for a Major Insurance Firm with a Dedicated Development Team

  • Chicago
  • Insurance
  • 12 Weeks
  • B2B
  • Python, Angular, Azure, MongoDB, Kubernetes

Project Brief

The primary goal of the project with our dedicated development team was to establish a complete claims control mechanism. This would result in the harmonization of activities, customer service enhancement and quality assurance for a large insurance entity based on Chicago, Illinois.

Client Background

They are a major insurance firm in Chicago, Illinois— recognized widely due to their diverse portfolio that includes health, life and property coverage among others. Their services are available to millions of clients all over United States.

Key Challenges:

Integrating with current insurance management systems to improve claim processing.
Ensure compliance with insurance rules and data protection legislation.
Create a safe platform for handling sensitive client data.
Improving the user interface for consumers and workers in order to increase efficiency and satisfaction.
Use powerful analytics to detect and prevent fraudulent claims.
Ensure system scalability to manage increased claim volumes.
Coordinating with internal IT teams to guarantee a successful deployment and integration.

Solution:

1. Discovery and Planning

Our dedicated development team thoroughly reviewed the client's existing systems and regulatory requirements. This involves performing stakeholder interviews, system audits, and gathering detailed requirements to identify the project's scope and objectives.

2. Development & Implementation

A dedicated development team comprised backend and frontend developers, QA engineers, and DevOps professionals. Using Agile methodology, the team worked in sprints to develop and integrate different elements of the digital banking platform. Regular feedback loops ensured that the project satisfied both the customer's requirements and regulatory standards.

3. Implementation

Following the end of the development phase, the implementation team took over to integrate the new claims management system into the current infrastructure. This phase required extensive planning to guarantee a seamless transition, which included data migration, system configuration, and user training.

Tools & Technology Used

Python

Programming Language

Angular

Frontend

Azure

Cloud Service

MongoDB

Database

Kubernetes

Containerization

Features:

Claims Processing Automation

The technology connects to current policy management systems to streamline claims processing. This lowers manual labour, accelerates the insurance claim handling process, and reduces human error.

Regulatory Compliance

Automated compliance checks guarantee that insurance rules are met. The system continually analyses and validates claims against regulatory standards, lowering the likelihood of noncompliance and fines.

Advanced Analytics

The platform uses powerful analytics and machine learning algorithms to identify and avoid fraudulent claims. This involves real-time analysis of claims data to detect anomalous trends and probable fraud.

User-friendly Interface

The frontend, built using Angular, delivers a dynamic and intuitive experience for both consumers and staff. Features include real-time claim progress updates, simple navigation, and personalised dashboards.

Scalability

The technology, built on Azure and using a microservices design, can expand to accommodate increasing claim volumes. Kubernetes orchestrates containers, allowing for smooth scaling and efficient resource management.

Regulatory Compliance

Automated compliance checks guarantee that insurance rules are met. The system continually analyses and validates claims against regulatory standards, lowering the likelihood of noncompliance and fines.

Advanced Analytics

The platform uses powerful analytics and machine learning algorithms to identify and avoid fraudulent claims. This involves real-time analysis of claims data to detect anomalous trends and probable fraud.

User-friendly Interface

The frontend, built using Angular, delivers a dynamic and intuitive experience for both consumers and staff. Features include real-time claim progress updates, simple navigation, and personalised dashboards.

Scalability

The technology, built on Azure and using a microservices design, can expand to accommodate increasing claim volumes. Kubernetes orchestrates containers, allowing for smooth scaling and efficient resource management.

Values Delivered:

Automated claims processing reduces manual effort.
Advanced analytics resulted in a 20% reduction in false claims.
Automated compliance checks assured conformity to rules and reduced the danger of fines.
The scalable system architecture enabled a 25% increase in claims volume without performance problems.

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