Our client, a leading insurance provider, sought to reduce claim volumes and costs while improving policyholder engagement and promoting preventive care.
Their vision was to build a comprehensive digital ecosystem that promotes preventive care, enhances operational efficiency, and ensures policyholder satisfaction
1.3 m
Users
0.5 m
Active Users
0.3 m
New Downloads
User Stories
Key BPMN
Tech Scope
Maze
Figma
Trymata
Adobe
Userbob
Miro
Maze
Figma
1
A significant portion of claims stemmed from preventable health issues due to the lack of timely interventions or awareness.
2
Existing systems prioritized claim management rather than empowering policyholders to proactively manage their health.
3
Manual claim processing and the need for coordination between hospitals, doctors, and policyholders led to higher operational expenses and inefficiencies.
4
No integrated digital consultation platform exists to mitigate unnecessary treatments and interventions in hospital settings.
1
Integrated Digital Consultation Platform
2
Preventive Care Features
Integrated Digital Consultation Platform
Preventive Care Features
360° Patient Profiles
Simplified Claim Management
Hospital Digitalization
Medicine and Lab Orders
Branding and Engagement
drop in overall claims volume with Preventive health tracking and policy-aligned features
positive feedback score on user satisfaction, thanks to convenience and transparency
hospitals, 20,000 doctors & 1,500 labs were successfully onboarded, ensuring widespread accessibility.
reduced claim processing cost through automation and digital workflows.
Over all, Increased user satisfaction with 92% positive feedback.
Results
FEATURES
Capabilities
Impact
Before
After
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