Automated Claims Processing Solution

The customer, a Fortune 1000 company, is a leading financial services provider in the US and Canada, offering investment products to more than 8.8 million credit union members.   They also offer loan protection, credit disability, and credit life insurance products.   The customer's claims processes required streamlining. A loosely-knit portfolio of applications and largely manually processing of claims across the organisation, led to errors and duplication. Every claim involved 15 internal applications and 5 systems across the web. The situation was an untenable one from an IT perspective because of it inherent inefficiencies.   There was a need for a single strategic platform to facilitate automated processing without compromising accuracy and consistency of claims data.   MajescoMastek implemented its Elixir claims component, an n-tier web-based application designed to support multiple product lines.   Elixir provided a flexible product configuration engine, rules management, and a claims processing workflow to meet the wide range of business requirements.   Its architecture interfaces with various policy administration and peripheral systems.   The Elixir claims solution rationalised the customer's disparate systems by creating a single view, and enabling unified claims processing across product lines.   The result was sizeable reduction in claims processing time by up to 50% and a follow-on reduction in IT spend for maintenance of multiple claims systems to the tune of 20%.   Engagement Facts End-to-end "Claims Express" Solution Automated claims processing Optimized claims processing across products, companies and locations A unified view of all claims across the company 150+ man-months of development effort   Technology Facts Interface: ASP.NET / VB.NET, .NET XML Web Service Platform: .NET/Windows Database: DB2 UDB 7.2 (AIX) Development Tools: Visual Studio .Net, New Mega top