How End-to-End Automation Transformed Claims Management with 99.5% Accuracy

The Story So Far

A leading US financial service provider faced delays and inefficiencies in its claims process due to outdated spreadsheets and legacy systems. Manual logging, supervisor routing, and multiple handoffs created bottlenecks and poor visibility into claim status.

To overcome these challenges, the group modernized its claims system with Pega Claims Management, automating manual tasks and bringing transparency across operations.

End-to-End Pega Claims Automation by EvonSys

What Got in the Way

Manual Routing

Fragmented Data

Offline Workflows

The EvonSys Approach

EvonSys helped unify the entire claims lifecycle on a single platform, streamlining workflows and reducing manual errors. Through Pega Workflow Management and API-driven integrations, stakeholders gained secure, real-time access to connected systems, creating a single source of truth. Automated reporting further minimized manual effort, ensuring higher accuracy and faster turnaround times.

How the Story Changed

50% Faster Processing

Cycle Time Cut from 19 to 10 Days

$651K Annual Savings

Plus $60K Reduced Monthly External Costs

99.5% Accuracy

With Automated Workflows and Reporting

Solutions to grow your business

Achieve Unparalleled Time-To-Value

  • Rapidly deliver applications that the business needs.
  • Facilitate faster decision making among cross-functional teams working in tandem.

Reinvent Development

  • Stay Agile and respond quickly to evolving business and customer needs.

Build More at Scale

  • Design solutions that are easy to scale on cloud-native architecture.
  • Create a variety of solutions ranging from process automation apps to mission-critical systems modernization without incurring high costs.

End-to-End Pega Claims Automation | EvonSys Case Study

A leading US financial service provider faced delays and inefficiencies in its claims process due to outdated spreadsheets and legacy systems. Manual logging, supervisor routing, and multiple handoffs created bottlenecks and poor visibility into claim status.

To overcome these challenges, the group modernized its claims system with Pega Claims Management, automating manual tasks and bringing transparency across operations.

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