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INDUSTRY: INSURANCE & INSURTECH

Digital Solutions for Modern Insurance Providers

Drive digital transformation in insurance with intelligent automation, straight-through claims management, AI-driven underwriting, and seamless customer self-service.

UKAF Certification
UKAF ACCREDITED

ISO/IEC 27001:2022

Information Security Management

IAF Certification
IAF ACCREDITED

ISO 9001:2015

Quality Management System

Digital Solutions for Modern Insurance Providers

The Challenges We Solve

Manual & Slow Claims Processing

Long settlement cycles, paperwork bottlenecks, and high loss adjustment expenses.

Legacy Core System Rigidity

Outdated policy administration systems limiting speed-to-market for new products.

Policyholder Digital Expectations

Rising demand for instant quotes, transparent policy tracking, and mobile FNOL.

Fraud Detection & Leakage

Vulnerability to fraudulent claims without automated anomaly detection models.

How Evalogical Helps

01 Consulting & Strategy

  • Insurtech Modernization Strategy
  • Claims Journey Optimization
  • Regulatory Compliance & Governance
  • Product Speed-to-Market Advisory

02 Technology Solutions

  • Digital Policy Administration (PAS)
  • AI Claims Automation & OCR
  • Intelligent Underwriting Engines
  • Customer & Broker Self-Service Portals
  • Telematics & IoT Connected Insurance

03 Implementation & Support

  • Guidewire / Duck Creek Integration
  • Fraud Model Tuning & Deployment
  • Managed Cloud Infrastructure
  • 24/7 Production Systems SLA

Industry Use Cases

Digital FNOL & Claims Automation

Instant mobile first-notice-of-loss with AI image appraisal and fast-track payout routing.

Key Solution

Automated Risk Underwriting

Dynamic risk scoring algorithms consuming external data feeds for instant quote generation.

Key Solution

Real-Time Fraud Prevention

Machine learning models flagging suspicious claims and behavioral anomalies proactively.

Key Solution

Customer & Agent Portals

Unified self-service for policy renewals, endorsement changes, and document downloads.

Key Solution

Benefits & Outcomes

55%

Faster Claims Settlement Cycle

40%

Reduction in Loss Adjustment Expenses

90%

Policyholder Satisfaction Score

99.9%

Regulatory & Data Security Compliance

Platform Success Story

Leading Health & Life Insurer Modernises Underwriting and Claims with Creatio

Leading Health & Life Insurer Modernises Underwriting and Claims with Creatio

A leading health and life insurance provider serving individuals and group members deployed Creatio to eliminate manual processes and bridge operational silos. The platform unified member sales, marketing, medical underwriting, and claims management into a centralized, rules-driven workflow — ensuring real-time visibility for brokers, faster adjudication, and seamless policyholder service.

100%

Digital Underwriting & Claims Alignment

75+

Years of Operations Transformed

2x

Faster Policy and Claims Turnaround

Frequently Asked Questions

How do your solutions speed up insurance claims processing?

We integrate AI computer vision and OCR to extract loss details, validate coverage automatically, and enable straight-through processing for standard low-complexity claims.

Yes, we build robust API integration middleware that connects modern customer portals and AI models with Guidewire, Duck Creek, and legacy mainframe systems.

Our architectures comply with NAIC, GDPR, PCI-DSS, and state regulatory guidelines, with end-to-end data encryption, access governance, and comprehensive audit trails.

Yes, our platform ingests real-time driving telemetry from connected vehicles and mobile apps to enable dynamic pay-as-you-drive underwriting.

Ready to Modernize Your Insurance Operations?

Let's build smart, automated claims and policy management solutions that delight policyholders and reduce operational costs.

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