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Develop a Low-Code Platform for Custom Claims Automation and Underwriting Workflows
  1. case
  2. Develop a Low-Code Platform for Custom Claims Automation and Underwriting Workflows

Develop a Low-Code Platform for Custom Claims Automation and Underwriting Workflows

djangostars.com
Insurance
Financial services

Identified Challenges in Claims and Underwriting Process Automation

Insurance companies often face complex, manual, and time-consuming claims and underwriting workflows, requiring multiple custom user flows that depend on specific property types, claim scenarios, and business rules. These manual efforts lead to higher operational costs, slower service delivery, and suboptimal user experiences. Existing systems lack agility, making it difficult to quickly adapt to new claim types or regulatory changes, thereby hindering scalability and growth.

About the Client

A mid-sized insurance provider seeking a flexible platform to automate claims processing and underwriting with customizable user journeys.

Key Goals for Claims Automation and Workflow Customization Platform

  • Create a scalable, easy-to-use platform enabling rapid design of custom claims and underwriting workflows.
  • Develop an MVP that demonstrates core functionalities for claims automation and workflow customization.
  • Transform the MVP into a fully operational platform supporting multiple claim scenarios with seamless third-party integrations.
  • Reduce manual processing time for claims and underwriting tasks by automating user journeys.
  • Enable insurance companies to build and deploy industry-specific claim processes within hours at the lowest possible cost.
  • Ensure platform scalability, flexibility, and futureproof architecture to support long-term growth.

Core Functional Requirements for Claims and Underwriting Automation Platform

  • A construction kit comprising basic UI elements (text areas, buttons, checkboxes, attachments) and complex functionalities (automated data import, map pinning, claim calculators, website creation wizard).
  • Predefined, customizable templates for common claim scenarios such as loss claims, digital quotes, repair scheduling, and more.
  • drag-and-drop interface for designing and modifying user flows without coding.
  • Ability to integrate third-party services seamlessly into user journeys, including analytics, data providers, electronic agreement services, etc.
  • Flexible architecture supporting multiple claim scenarios with dependencies based on property type, claim specifics, and other criteria.
  • A library of industry-specific templates to accelerate workflow setup and reduce manual configuration time.

Recommended Technologies and Architectural Approaches

Low-code development principles
Modular, component-based architecture
Scalable backend frameworks supporting custom integrations
Responsive web frontend for easy user journey design
RESTful APIs for third-party integrations

Essential External System Integrations

  • Third-party analytics and data providers
  • Electronic signature and document management services
  • Mapping and geolocation services
  • Insurance-specific calculators and rule engines
  • Claim data import/export systems

Critical Non-Functional System Requirements

  • Platform must support at least 100 concurrent users during peak times.
  • System performance should enable claims workflow setup within 30 minutes.
  • Secure data handling compliant with industry standards, including data encryption at rest and in transit.
  • Platform scalability to accommodate growth in insurance claim scenarios and user base over the next 5 years.
  • High system availability with 99.9% uptime.

Projected Business Benefits of the Workflow Automation Platform

The new platform is expected to enable insurance companies to design and deploy custom claims and underwriting workflows in hours, significantly reducing manual processing time and operational costs. It aims to improve user experience through faster automated processes, support multiple claim scenarios with high flexibility, and facilitate long-term growth by providing scalable, future-proof architecture. The implementation is projected to result in faster workflow setup and execution, leading to increased customer satisfaction and operational efficiency.

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