Healthcare Go-Live

computer files

Healthcare Go-Live A large health insurer needed to upgrade their legacy system that was taking up to 40 minutes to process batches of 5000 Medicaid enrollment transactions. The Problem A health insurace company, with more than 1.2M members, legacy system was taking between 20 to 40 minutes to process batches of 5,000 Medicaid enrollment transactions: […]

Proposal and Policy Management

property casualty

Proposal and Policy Management Rulesware developed a web-based Pega app for a property and casualty insurance company so that they could manage proposals and policies for multiple LOBs. The Problem This initiative focused on the optimization of policy administration functions through the implementation of a guided system to automate end-to-end service processes. This included the […]

Streamlining Media and Marketing Campaigns

Streamlining Media and Marketing Campaigns A personal insurance company needed a centralized campaign management tool that could secure sensitive customer data and handle a multitude of business processes. The Problem We needed to create a simplified, streamlined process for implementing and documenting an insurance company‚Äôs new marketing and media campaigns that leveraged their agency, customer […]

Guided Process Policy Administration

process policy

Guided Process Policy Administration A Fortune 500 insurer client and Rulesware led a policy admin project that not only guided users through an automated policy process but also retained data throughout. The Problem This initiative focused on the optimization of policy administration functions through the implementation of a guided system to automate end-to-end service processes. […]

End-to-End Group Quoting Process

insurance quoting

End-to-End Group Quoting Process A US-based health care insurer needed a tracking and processing system for their prospective and existing clients. The Problem As part of their yearly sales process for small and large groups, our client quotes many products to their current and prospective clients. They needed a system that allowed them to track […]

Smooth Transition to Business Policy Quotation

commercial insurance app

Smooth Transition to Business Policy Quotation Rulesware designed and constructed a commercial insurance application involving tree structure navigation and Pega PRPC. The Problem There was a clear need to streamline service interactions from the time a customer brought their vehicle in for servicing the first time on to and throughout the vehicle’s lifetime. The best […]

Development of Advanced Lead Management System

insurance lead management

Development of Advanced Lead Management System Rulesware helped a US-based insurance company develop an advanced lead management solution for agents and their support staff. The Problem We were tasked with developing an advanced lead management solution capable of the creation of leads; the viewing, updating, and resolution of leads; and the monitoring of agency and […]

Health Insurance and Pega Re-Architecture

call center

Health Insurance and Pega Re-Architecture After investing in Pega and two years of work, a US-based health insurer enlisted Rulesware to upgrade and re-architect their call center solution. The Problem This health insurance client needed an upgrade and re-architecturing to address some existing Pega functionality concerns, improve time-consuming processes and support some upcoming nationwide health […]

Not-For-Profit Health Insurance Company

health insurance

Not-For-Profit Health Insurance Company When our client came to Rulesware, they needed to transform their expensive, unscalable, error-intensive manual processes with digital automation. This client specialized in underinsured, mostly Medicaid participants, and needed to strengthen their relationships with their Provider network(s). The Problem The client’s legacy tools were opaque and difficult to modify, had slow […]