Development of a Modern Claims Management and Data Migration System for Insurance Companies

The client’s existing claims management system fails to meet current standards for case traceability, efficient processing, and comprehensive reporting, leading to longer processing times, reduced accuracy in claims decisions, and suboptimal customer experience. The legacy system's outdated architecture hampers rapid development and scalability, necessitating a complete technological overhaul.

A mid-to-large insurance provider specializing in claims processing, seeking to overhaul their claims management system to enhance efficiency and reporting capabilities.

• Develop a new, reliable core claims management system built on a microservices architecture to ensure flexibility and scalability.
• Migrate existing claims data, including tens of thousands of transactions within approximately 1,400 claims, accurately and efficiently from the legacy system to the new platform.
• Reduce end-to-end claim processing times to improve operational efficiency.
• Enhance claims decision accuracy through improved data handling and reporting capabilities.
• Improve overall customer service experience through a streamlined, user-friendly interface.
• Enable data-driven decision-making via advanced reporting and analytics modules.
• Establish a foundation for future system enhancements and feature development.

• Microservices-based architecture to support modularity and scalability.
• Automated data migration engine capable of securely transferring complex claim histories and transactions from legacy systems to the new platform.
• Real-time claim processing workflows to reduce turnaround times.
• Enhanced case traceability with detailed audit logs and status tracking.
• Advanced reporting dashboard for analytics and informed decision-making.
• User-friendly interface for claim handlers and administrative staff.
• Secure access controls and data protection mechanisms.

• Legacy system endpoints for data extraction and migration
• Reporting and analytics tools
• User authentication and access management systems

• System should support processing of at least 1,400 claims with tens of thousands of transactions with minimal downtime.
• Data migration must achieve a high degree of accuracy, aiming for near-zero data errors.
• System must ensure compliance with relevant data protection regulations.
• High scalability to accommodate future growth and feature addition.

The new claims management system is expected to significantly enhance processing efficiency, reducing claim handling times, improving data accuracy, and enabling more informed decision-making through advanced reporting. The platform will provide a reliable, flexible infrastructure that supports future expansion, ultimately helping the client stay competitive and improve customer satisfaction.