Development of a Unified Web Platform for Disability Benefits Management and Applicant Support

The organization struggles with complex, bureaucratic claim processes, inefficient communication channels between benefit applicants and medical professionals, and fragmented data management systems, leading to delays and reduced user satisfaction. Previous digital solutions failed to meet quality standards, requiring a robust, scalable platform to automate processes, improve communication, and ensure high reliability.

A mid to large-sized insurance organization specializing in disability and health benefits, aiming to streamline claim processing and enhance applicant engagement.

• Create a comprehensive web platform to automate key business workflows related to disability benefit claims.
• Facilitate direct, streamlined communication between benefit applicants, medical evaluators, and support staff via integrated messaging and communication tools.
• Implement real-time payment tracking and management with external financial systems, ensuring transparency and efficiency.
• Design a centralized education and resource hub to empower applicants with knowledge about the claim process.
• Develop a custom CRM for consolidating and analyzing applicant and case data to improve decision-making and operational efficiency.
• Ensure high system reliability with a notification and event tracking system achieving at least 99.99% delivery success.
• Optimize search capabilities for administrators using advanced cognitive search technologies.

• Secure user authentication and role-based access for benefit applicants, coaches, and administrators.
• A communication hub integrating with third-party video conferencing tools for real-time interactions.
• Custom event-driven notification system with high reliability and user-configurable preferences.
• Integration with external financial and payment systems for real-time transaction status updates.
• Advanced search functionality leveraging cognitive algorithms for rapid retrieval of documents and data.
• A centralized CRM consolidating communication logs, application data, and managerial tasks.
• Account aggregation system to unify email communications and streamline information retrieval.
• Admin dashboard with sophisticated filtering and reporting capabilities.

• Financial and payment processing systems for real-time transaction tracking.
• Video communication tools for real-time applicant-provider interactions.
• Email account aggregators to unify communication streams from multiple email accounts.
• Cognitive search platforms for enhanced data retrieval capabilities.

• System scalability to support high notification traffic, peaking at over 100 notifications per second.
• Message delivery reliability with a target of 99.99% success rate.
• Quick data synchronization to handle large volumes of communication data in under 30 minutes.
• Compliance with data security and privacy standards relevant to health and financial information.
• High availability and fault tolerance to minimize system downtime.

The deployment of this platform aims to significantly reduce claim processing times, improve communication effectiveness, and increase applicant satisfaction. Anticipated results include achieving a 99.99% notification delivery rate, faster onboarding of applications, streamlined communication workflows, and enhanced data-driven decision-making, ultimately leading to improved operational efficiency and member experience.