Claims Transformation stories

We have significant experience in delivering claims transformation programmes that help accelerate Insurance transformation globally.

Enabling Straight Through Processing with Cognitive Document Processing in Health Insurance

Background & Client Challenge

Moving Beyond Lagging to Leading One of the largest health insurer in US wanted to create market differentiation through prompt pay promise to the customer. Client is also assessing cost efficiency and scalability options on a growing book of business.

Objectives

Impact

  • Enable Straight through processing of claims
  • Generate cost efficiency and increase automation percentage in current claims process
  • Increase customer experience
  • Capgemini implemented CDP solution for the Disability and Hospital Indemnity product lines. CDP solution is processing 35,000 pages on a daily basis
  • All incoming claim invoices converted into standardized format. Foundation created for onward automation journey for claims processing
  • The client is seeing 25-30% efficiency benefits from implementing CDP


Migrating mainframe to Guidewire for a large UK insurer

Background & Client Challenge

Moving Beyond Lagging to Leading The customer programme for a large UK insurer planned to move its operational insurance business from the current (as-is) mainframe-based policy system of record solution to a Guidewire based solution

Objectives

Impact

  • Deliver unique claim solutions tailored to customer needs
  • Optimise Claims platform to support resource and operating efficiency
  • Increase automation and simplify processes
  • Provide platform support for business process agility
  • Reworked Core Third party integrations to support business process automation and support resource efficiency
  • Automated test scripts led to effort savings in person days and reduced head count
  • Hybrid early UAT model moved issues away from the end user which led to reduction in defects and a reduction in postproduction incidents


Improving the customer experience for a large Insurer

Background & Client Challenge

Moving Beyond Lagging to Leading Large insurance company’s business units had developed a broad array of disconnected technology solutions and digital capabilities, leading to a sub-optimal customer experience.

Objectives

Impact

  • Be industry leader in mobile, social and emerging interactions
  • Increase organisational agility
  • Increase customer loyalty
  • Drive customer interactions
  • Ensure customer trust through effective risk management
  • Designed the future state operating model and governance for consistent digital transformation
  • Enabled the client to achieve a number of high profile quick wins to demonstrate potential
  • Ensured stakeholder alignment through continued engagement with more than sixty senior executives, across multiple siloed business units, throughout the project.