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INSURANCE CLAIM SERVICES PROVIDER

Insurance claim services provider

BUSINESS PROBLEM

Insurance claims processing can be complex, particularly when data is sourced from multiple systems. This Insurance Claims Solutions Provider (ICSP) had been relying on Excel reports compiled from various sources but sought to enhance efficiency by transitioning to real-time dashboards for their claims processing and IT departments.

SCALESOLOGY IN ACTION

To build the real-time dashboards, Scalesology developed a robust data pipeline utilizing RingCentral, Workday, JIRA, two custom claims processing applications, Python Framework, GitHub, GitHub Actions, and AWS services (EC2, S3, and RDS). This pipeline enabled a daily update process that aggregated data into a cloud-based warehouse, where it was integrated and summarized for dynamic dashboard reporting.


Scalesology designed Power BI dashboards tailored to the client’s specific needs, incorporating Key Performance Indicators (KPIs) to track performance. The dashboards were built with features to support historical analysis, using disconnected data tables and slowly changing dimensions. These design elements allowed users to explore past trends while monitoring real-time response times and the efficiency of their services.

 

RESULT

The dashboards have delivered numerous benefits to the ICSP, including real-time display of Key Performance Indicators (KPIs) and reports that do not impact the computing performance of production systems. They also provide an analytical data warehouse ideal for modeling and future analytical initiatives, a scalable data ingestion process capable of accommodating both existing and new data sources, and automation of manual report generation. With dynamic dashboards updated daily, management now enjoys enhanced visibility into critical business KPIs across claims processing and IT service management areas.


 

SERVICE REFERENCES​


 

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