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Our Services

Client Overview

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

What we did

Design

Maze

Maze

Figma

Figma

Engineering

Trymata

Trymata

Adobe

Adobe

Userbob

Userbob

Miro

Miro

Maze

Maze

Figma

Figma

Problem

The Problem

1

High Claim Volume

A significant portion of claims stemmed from preventable health issues due to the lack of timely interventions or awareness.

2

Lack of Preventive Care

Existing systems prioritized claim management rather than empowering policyholders to proactively manage their health.

3

Escalating Administrative Costs

Manual claim processing and the need for coordination between hospitals, doctors, and policyholders led to higher operational expenses and inefficiencies.

4

No Consultation platform

No integrated digital consultation platform exists to mitigate unnecessary treatments and interventions in hospital settings.

Our Solution

  • star-icon

    Integrated Digital Consultation Platform

  • star-icon

    Preventive Care Features

  • star-icon

    360° Patient Profiles

  • star-icon

    Simplified Claim Management

  • star-icon

    Hospital Digitalization

  • star-icon

    Medicine and Lab Orders

  • star-icon

    Branding and Engagement

solution

Results

Reduced Insurance Claims

30%

Right Arrow

drop in overall claims volume with Preventive health tracking and policy-aligned features

Increased Policyholder Engagement

47%

Right Arrow

positive feedback score on user satisfaction, thanks to convenience and transparency

Increased User Engagement

3k+

Right Arrow

hospitals, 20,000 doctors & 1,500 labs were successfully onboarded, ensuring widespread accessibility.

Operational Cost Efficiency

40%

Right Arrow

reduced claim processing cost through automation and digital workflows.

Over all, Increased user satisfaction with 92% positive feedback.

Results

App Screenshot
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FEATURES

Product Redesign

Capabilities

  • Application branding modernisation and experience improvisation
  • User-friendly interfaces and consistent branding

Impact

  • Increased user engagement by 30% and retention by 89%, enhancing trust and loyalty
  • Improved conversion in major flows
before app

Before

Before App
before app

After

After App

Policyholder-Centric Digital Platform

Capabilities
  • Claim registration and real-time tracking.
  • Digital reimbursement and intuitive dashboards
  • Defined work flow for users and dynamic workflow for claim approval
Impact
  • Simplified claim management with 92% user satisfaction.
  • Reduced 50% user hustle and time for settlement
policyholder

Hospital Digitalization

Features
  • Automated workflows for empanelment, claims, and consultations.
  • Reduced manual intervention
  • End to end digitalisation from attendance management to stocks and assets to patients
Impact
  • Onboarded 3,000 hospitals and 8000 doctors reducing costs and approval delays.
policyholder

Preventive Care Initiatives

Features
  • Wellness programs, vitals tracking via wearables.
  • Automated health alerts and early risk detection tools.
  • Wellness plan and programs to increase health awareness
Impact
  • Reduced claims volume by 8%, in first year itself.
  • Improve living
  • Projected to reduce 50% in 10 years
policyholder

360° Digital Patient Profiles

Features
  • Comprehensive history, family health records, and past treatments.
  • Actionable insights for doctors.
  • Unified platform for very members in a family with multi user access
Impact
  • Improved consultation quality and decision-making
  • Quick analysis of own and family medical history
policyholder

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