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Insurance companies increasingly depend on digital technology to provide customers with a satisfying and prompt insurance experience. They are looking for ways to provide a seamless, streamlined, and cohesive experience to their customers.

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Architecture at a glance

Intelligent Automation Workflow for Claims

This architecture, based on a study of claims systems in insurance companies, is designed to automate existing manual processes, tasks, and workflows. It also assists backend support with data-driven artificial intelligence (AI), shortening the requirements for training and onboarding employees and helping staff members avoid tedious, low-value, repetitive tasks. Being cloud-native, it also offers a flexible and scalable platform that can be hosted anywhere.

IT workflows

For insurance companies, intelligent workflow automation enables efficiency, accuracy, and security across operations. A typical insurance company's IT system can be broken down into two types of workflows:

  • Business process: A collection of business tasks and activities that deliver a service to customers or accomplish business objectives.
  • Infrastructure service: A collection of IT tasks, changes, and updates managed across systems, clouds, and datacenters.

Although these two workflows handle completely different areas, their goals are the same: Reduce manual labor, reduce response time, and increase volume.

Another goal when introducing new intelligent automation is to lower risk, reduce chaos, and reuse existing assets (hosting, system, software) as much as possible. To do that, organizations must be able to support hybrid platforms and legacy systems.

3 keys to successful transformation

Asset Usage

The keys to successful transformation are: intelligent, unify, and automate.

  • Intelligent: Introducing machine learning (ML) using artificial intelligence (AI) and robotic process automation (RPA) can assist business processes, new business, underwriting, and claims systems. These technologies can automate decision-making tasks based on predetermined data models.
  • Unify: Choosing flexible hosting on hybrid platforms and reusing legacy systems ensures that change has a low impact on employees. Companies can support legacy systems while gradually adopting new technologies, and they can give business users a consolidated view of the information system.
  • Automate: IT service management (ITSM) standardizes the management and monitoring of IT resources and services with infrastructure service workflows. You can enable self-service by automating setup, deployment, IT infrastructure updates, policy enforcement, and configuration changes. The benefit is an agile, scalable, and flexible environment.

Technological synergy

Technological synergy

Perhaps one of the most important aspects of this architecture is integration and technological synergy. Far from disparate software strung together into ill-fitting pipelines, this reliable architecture uses modular applications working together seamlessly to take full advantage of modern systems, such as those running on open container platforms like Red Hat OpenShift.

[ Learn the top considerations for building a production-ready AI/ML environment in this free eBook. ]

More to come

In my follow-up articles, I'll share implementation details about moving from manual to intelligent automation and automating insurance systems with ITSM.


Sobre os autores

Christina Lin is a Red Hat Portfolio Architect. She is an advocate for making innovative solutions down to earth and making them easily accessible for everyone. She is a speaker at many technology conferences around the globe. Coming from a developer background working in an infrastructure-heavy company, she helps to grow market awareness and establish thought leadership on Red Hat solutions for all parties: dev, DevOps, and ops. Her 17 years of experience helps her to be practical but also to introduce new solutions and ideas to the software industry. 

 

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Denzil is a principal architect and insurance lead at IBM's Industry Engineering Lab, creating solutions that align with industry imperatives and utilize the latest strategic technology offerings. He has 15+ years of experience working with financial services clients delivering innovative solutions to meet business needs and enabling digital transformations. He has been involved in strategic business initiatives that leverage cloud, AI, mobile, and analytics to develop solutions with targeted business outcomes. 

He has worked on end-to-end enterprise implementations of production systems as well as modernizing existing systems to provide business and technology agility. Denzil has a Master’s Degree in Information Technology and Management from the University of Texas at Dallas and a Bachelor’s Degree in Electronics and Telecommunications Engineering from the University of Mumbai. 

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