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Digital Claims Management System Modernization for Pet Insurance Provider
  1. case
  2. Digital Claims Management System Modernization for Pet Insurance Provider

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Digital Claims Management System Modernization for Pet Insurance Provider

yslingshot.com
Insurance
Environmental Services
Information technology

Operational Inefficiencies in Claims Processing

PetFirst faced significant challenges with manual claims processing causing excessive paper waste (7,000+ pages/week), human errors, and slow processing times. The legacy system couldn't scale with their rapid growth and failed to meet modern customer expectations for digital convenience.

About the Client

Pet insurance provider focused on reducing financial burden for pet owners while maintaining environmental sustainability

Digital Transformation Goals

  • Replace manual paper-based claims process with digital solution
  • Reduce human error rate by 20% in claims processing
  • Implement mobile-first claims submission capabilities
  • Decrease average claims processing time by 20%
  • Enable cloud scalability through AWS deployment
  • Reduce operational costs through automation

Core System Capabilities

  • Digital claims submission portal
  • SMS-based claims submission integration
  • Automated claims validation engine
  • Cloud-native document storage and retrieval
  • Real-time claims status tracking dashboard
  • Policyholder data integration system

Technology Stack Requirements

.NET
Angular
Microsoft SQL Server
AWS
Node.JS

System Integration Needs

  • Twilio/SMS gateway integration
  • Policyholder database synchronization
  • Payment processing system integration
  • Cloud storage API (AWS S3)

Operational Requirements

  • Horizontal scalability on AWS infrastructure
  • 99.9% system uptime SLA
  • HIPAA-compliant data handling
  • Sub-2 second page load times
  • Automated failover capabilities

Expected Business Outcomes

Projected 20% reduction in processing time, elimination of 7,000+ weekly paper pages, and support for doubling policyholder base through AWS scalability. Call center workload reduction through self-service capabilities and improved customer satisfaction from faster claims resolution.

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