Success Stories
Implementing Guidewire ClaimCenter
Customer:The customer is a state owned Workers Compensation Insurer.
Business Situation- Customer using Legacy Claims Management System application as their primary claims processing system. The application was designed and developed 10 years ago and represents the technology and tools that were available during the 2-tier/client-server architectural arena.
- The business and data logic were so tightly coupled that making changes is very difficult. This leads to a delay in the implementation of business enhancements and also entails significant re-work thus necessitating total replacement of the entire system.
- In order to make its IT systems more flexible, customer created an Information Systems Plan that laid out a strategy for moving to an e-business model, with the focused business goal of providing web-access to business components for in-house and remote users (agents, providers, stakeholders and employees) through a common interface.
- Customer therefore required a new Claims Processing System based on a service-oriented architecture that would support an n-tier model.
- Extending the claims processing environment to policyholders, agents, partners, providers, and employees
- Systematically enforce claims management best practices across all policy types, business relationships, and regulatory requirements
- Providing a common electronic reporting solution to all relevant governing and regulatory bodies
- Streamlining work processes to increase efficiency throughout the claims organization
The project is being implemented jointly by Guidewire Software and HCL Technologies using the Onsite/Offshore model. The entire project has been divided into multiple phases covering Initiation, Discovery, Design, Solution Development and User Acceptance testing. The phases are
- Project Initiation
- Requirements Discovery & Design
- Construction (Including Unit Testing)
- Integration Testing
- User Acceptance Testing
- Pilot
- Production Deployment
- Production Support
Customer Benefits
Some of the benefits that Customer has achieved by adopting a ClaimsCenter as its Claims Management System are:
- Web-based access to Policyholders, External service providers etc
- Rules Engine for implementing the best practices
- Reduced cycle time for claims processing
- Enhanced efficiency in handling claims
- Increased collaboration with partners and other external users leading to enhanced service levels
- ClaimCenter enables innovation in claims, using flexible business rules to optimize the claim process and automatically monitoring all operations to catch exceptions and eliminate errors. The rules engine gives increased flexibility to the users in creating and modifying existing rules when business conditions change.
- Claims adjusters can define and enforce preferred claim-handling practices, and can refine these practices over time
- ClaimCenter's modern architecture, web client, XML - based configuration, and web services support ensure lower total cost of ownership in any environment.
