Significant reduction in on-boarding new insurance carrier from 6+ months to one month

Customer

The client is a provide of insurance management solutions to major US based insurance carriers. It provides end-to-end services including plan,enrollment,financial management to insurance providers.

Business Scenario

Healthcare industry in USA is going through major transformation in as many decades. The customer wanted to take advantege of the new business opportunities by augmenting their service offerings with the help of technology.

Proposed Solution
  • Horizontally scalable architecture with ability to add multiple processing nodes
  • Pattern based design for modularity in development process.
  • Designed to process 500,000 environments per day.
  • Auto-Generation of Message Broker flow increases flexibility to add new integration points.
  • SOA aligned architecture for maximum agility.
  • Adherance to industry standards with capability to add custom content.
  • Life-cycle Management of Insurance Plan- Loading SERFF templates,End-to end plan offer to retire process management, integration with back-end COBOL system
  • Integration platform for data exchange with Federal and State based Health exchanges and Insurance carriers for various transactions such as enrolment,financial payments etc.
  • Multi-tenant environment for segregation of data.
  • Real time data rollups for aggregation of data
  • Availability of pre-defined dashboards as well as ad-hoc reports
  • Keyword search in unstructured data such PDF, word documents
  • Mobile application for easy access to information
Technology
  • J2EE, jQuery, Javascript, HTML5
  • Open source frameworks-Struts2, Hibernate, Spring, Hadoop, Mongo DB
  • Mobile application development framework
  • IBM WebSphere Message Broker, Transformation xTender, IBM MQ, IBM DB2
Impact
  • Significant reduction in new insurance carrier on-boarding from 6+ months to less than one month.
  • Reduction in operating cost and improvement in customer satisfaction.
  • New business opportunities by providing SAAS offerings for smaller insurance providers. Addition of 3 new customers with the new business model.
  • Enhanced security features with multiple points of validation and authentication.
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