Servihogar24h | Cloud
New BPM platform to streamline management processes
Challenge: The path to success
ServiHogar24 (Grupo RACC), an insurance company aiming to be a benchmark in quality for home assistance services, contacted us because they needed to streamline the management of claims processing.
They required high availability and scalability as it needed to allow the processing of more than 500,000 claims per year and the participation of more than 7,000 users including processors and providers. Additionally, it had to integrate and communicate with legacy systems.
Solution: The key to transformation
The solution built consists of developing a new claims management system based on an integrated BPM solution, with custom development and using AWS Cloud infrastructure, and a new data platform for claims management.
On one hand, the new BPM platform allows the generation, tracking, control, closure, and billing of services 24/7, connected with critical legacy services such as the opening of new claims, interoperability, and billing. It has been progressively migrated and integrated with other Legacy services.
On the other hand, the data platform allows the management of claims by providers, auditors, adjusters, and insurers with serverless processes for ETL without affecting the business. It includes a data mesh (domain ownership, data as a product, self-service data platform, federated governance), generation of KPIs without additional costs, self-maintained data management, and production delivery through IaC (SAM + CDK).
Result: The impact of joint work
- Comprehensive view of the processing of each claim from start to finish.
- Improvement of the home care process.
- Maximization of process standardization.
- IT as a facilitator and not an obstacle.
- Management of business growth.
