Automating Insurance Management & Claims: 85% reduction in Manual Effort
Overview: A leading insurance provider, serving diverse
verticals including Health, Marine, Fire, and
Corporate Insurance, managed extensive policy and
claims operations. They needed to automate
insurance management and claims processing for
increased efficiency and reduced manual
dependency.
Objective: The goal was to implement applications to reduce manual effort by 85% and policy/claim processing time to enhance
insurance quotations, policies, and Claims management.
Business Challenges
The organization faced operational inefficiencies in their insurance management processes, which slowed growth and impacted customer and agent experiences:
Slow Personal Details Verification: Manual verification of client details delayed processing
Complex AML Compliance: Time-intensive AML checks reduced operational efficiency
Manual Fraud Assessment: Real-time fraud and sanction details assessment was labor-intensive
The Solution
We deployed Pega low-code application, leveraging our global expertise in digital transformation. The solution
automated insurance management and claims processing through an agent-driven systematic process. Leads
received via phone, email, or in person triggered automated quote generation, followed by multiple automatic and
manual validations and verifications steps, including AML and real-time fraud and sanction assessments. The
process culminated in quote-to-policy conversion, with detailed reporting for internal and external auditing and
finance calculations, streamlining operations.
Value Delivered
Our Pega-driven application transformed the client’s insurance operations, delivering significant efficiency gains and aseamless experience for agents and underwriters. Previously hindered by manual validations, the organization now benefited from automated workflows and modern UX, reducing processing times.
85%
Manual Effort Reduction via Automated validations and verifications
40%
Processing Time Reduction through Accelerated policy and claim handling
50%
Detailed Auditing Reports enhanced compliance and financial accuracy