PEGA

Industry - Insurance

Region – US

Insurance Management Platform: Transforming Property and Casualty Coverage with Comprehensive Digital Solutions for Enhanced American Insurance Operations

Core takeaways

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Business challenge

Repetitive data entry tasks for policy applications, renewals, and changes were time-consuming and prone to errors. Paper-based documentation for applications, endorsements, and claims significantly slowed processing times and limited accessibility. Policyholder information was scattered across different systems, hindering a holistic view and efficient management. Manual review processes made it difficult to detect fraudulent activities quickly, increasing risk exposure.

Solution overview

Eclatprime implemented a comprehensive insurance management system on Pega 8.x. The solution digitized the entire claims process from initiation to settlement. Policyholders could initiate claims via phone or online forms, with customer service representatives capturing initial information and verifying policy details. The system intelligently assigned adjusters based on location and expertise to assess damage. Claims were settled through an integrated secure payment gateway. The platform featured online application forms with pre-filled data, efficient adjuster assignment, and real-time analytics for informed decision-making.

Key success metrics