Development of a Highly Configurable SaaS Claim and Policy Management Platform for Insurance Providers

An insurance provider aims to enhance the efficiency and flexibility of their claims and policy management processes. Existing systems lack configurability, real-time workflow automation, and scalable multi-tenant architecture, leading to operational bottlenecks and limited customization for different client needs. There is a need for a cloud-native, microservices-based platform enabling business users to define rules, workflows, and communication channels without extensive technical help, ensuring data security and high availability under high load scenarios.

A rapidly growing insurance company seeking a scalable, configurable platform to streamline claims, policies, and customer communications with multi-tenant support and advanced integrations.

• Develop a scalable, cloud-native SaaS platform supporting an unlimited number of tenants with isolated data storage for security and performance.
• Implement a highly configurable claim and policy management workflow engine that can be tailored by business users to match diverse operational processes.
• Create user journeys, quote forms, and policy configurations customizable to each insurer's business model with minimal technical intervention.
• Ensure high system availability, fault tolerance, and processing capacity to handle over 400 quotes and 20 purchases per minute.
• Enable seamless integration with widely used third-party communication, verification, analytics, and security tools.
• Establish robust infrastructure deployment, monitoring, and CI/CD pipelines to facilitate rapid, reliable releases and updates.
• Provide 24/7 customer support infrastructure for issue resolution with a quick response time.

• Configurable claim submission and management workflow with steps including notification, fact-finding, communication, supply chain management, reinstatement, and settlement.
• Flexible policy product configuration, quote form templates, and user journey customization by business users.
• Workflow engine capable of high availability, fault tolerance, and handling thousands of concurrent processes.
• File management, SMS and email notification, claims export, reporting, billing, task, and workload management features.
• Integration capabilities with external communication services (e.g., email, SMS), address verification, analytics, identity management, and data security systems.

• Email services (e.g., Gmail, Office 365)
• SMS messaging via Twilio or similar
• Address verification (e.g., Loqate)
• Business intelligence and analytics tools
• Identity and access management (e.g., Okta)
• Security systems (e.g., Semafone)

• System scalability to support high load environments (e.g., 400+ quotes and 20+ purchases per minute)
• High availability and fault tolerance with minimal downtime
• Data security with encryption for all sensitive data
• Tenant data isolation with dedicated databases and storage buckets
• Robust monitoring and alerting using tools like CloudWatch, Prometheus, Grafana, and Elastic Stack
• Automated CI/CD pipelines using tools such as TeamCity, Terraform, and CloudFormation for reliable deployment and updates

The development of this scalable, highly configurable claim and policy management platform is expected to significantly improve operational efficiency, reduce time-to-market for new products, and enable rapid onboarding of multiple clients, resulting in increased revenue streams. The high processing capacity and strong security measures will support business growth and compliance. Additionally, streamlined workflows and integrations will enhance customer experience and data-driven decision making, leading to higher client satisfaction and retention.