Claims and Policy Service
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Optimize Operations from End-to-End
The challenge: Inefficient, inconsistent and often manual business processes for key functions such as claims processing and policy servicing have become drains on company profitability, customer satisfaction and compliance.
Pega solutions for intelligent automation offer the exclusive ability to capture your key business objectives and turn them into automated, end-to-end processes that can be fully integrated with existing policy administration, claims and other enterprise systems. Pay claims faster, eliminate manual handling of policy changes, easily track complex cases across multiple back-office functions, automatically detect fraud — with Pega solutions for insurance, you can achieve new levels of operational efficiency to substantially drive down operating costs, increase customer satisfaction, reduce losses and ensure compliance.
- Eliminate organizational bottlenecks and information silos. Incorporate best practices into seamless automated processes that cover every step from front- to back-office across multiple channels and lines of business.
- Engage in smart claims servicing. Analyze claims patterns and automatically trigger detection activities and risk alerts during customer interactions to reduce claims leakage.
- Reduce costs for policy servicing. Help agents and service representatives quickly assess a customer’s situation with a unified view of the policyholder across multiple lines of business and channels.
- Continuously improve operations. Take advantage of extensive reporting and metrics to track performance results across the organization or by individuals.
Pegasystems — Delivering Real-World Results
Today, insurers around the world count on Pegasystems to improve their operational efficiency and achieve outstanding results:
- International property and casualty insurer Chartis is standardizing its propriety claims process in over a hundred jurisdictions around the globe using Pega solutions.
- A large Midwestern life insurance carrier with more than 600 billion in force uses Pega solutions to radically improve back-office processes for its in-force business.
- New York Life's Long Term Care division selected Pega to automate its new business and claims processes. Using Pega’s powerful integration wizards, the company can now access systems and information across the organization in a multitude of formats and far-flung locations.


