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Digital Transformation of Health Insurance Services for Modern Employers

altkomsoftware.com

Insurance

Medical

Challenges in Traditional Insurance Operations

Employers face manual, time-consuming processes for policy management, while employees lack digital tools for claims submission and tracking. Operational inefficiencies and outdated systems risk damaging AXA's market leadership position in the competitive insurance sector.

About the Client

International insurance and assistance provider operating in 30+ countries, specializing in employer-focused health insurance solutions and emergency support services.

Strategic Transformation Goals

Automate 80% of policy management workflows to reduce administrative overhead
Implement end-to-end digital claims processing with real-time tracking
Enhance brand perception through modern digital insurance experience
Achieve 40% reduction in operational costs through process optimization

Core System Capabilities

Employer CRUD interface for policy creation, updates, and termination
Employee self-service portal for claims submission and status tracking
Secure document upload functionality for medical records
Automated reimbursement workflow engine
Real-time integration with medical billing systems

Technology Stack Requirements

Cloud-native architecture (AWS/Azure)

Workflow automation engine (Camunda/Activiti)

RESTful API framework

Containerized microservices (Docker/Kubernetes)

Modern frontend framework (React/Vue)

System Interoperability Needs

Medical facility billing systems
AXA's existing policy database
Payment gateway for reimbursements
Document management system

Operational Requirements

99.9% system availability
HIPAA/GDPR compliance
Support for 10,000 concurrent users
Response time under 2 seconds
Automated scaling during peak usage

Expected Business Outcomes

Projected 60% reduction in policy management processing time, 50% decrease in manual claims handling, and 30% improvement in customer satisfaction scores. Operational cost savings will enable reinvestment in innovation while strengthening market leadership through superior digital experience.