MayaLogic
Case study · Insurance

A claims modernization that closed cases 31% faster — and audit-ready

Modernised the claims platform with a workflow engine, evidence vault, and adjuster experience that closed cases 31% faster while improving regulatory audit posture.

Anonymized delivery dashboard

Insurance outcome cockpit

After launch

Cycle time

−31%

Audit findings

−72%

Adjuster capacity

+24%

Before

Constraint

Build

Controlled cutover

After

Measured gain

Client
European insurer
Industry
Insurance
Service
Digital Transformation
Engagement closed
October 2024
Storyline

From constraint to measurable change.

Every engagement is framed around the business situation, the constraint that made it hard, and the decision that turned delivery into a controlled path to value.

Situation

The operating reality

The legacy claims system encoded process in code. Every regulatory change required a quarterly release, and audit findings on evidence handling were rising.

Constraint

Why it was hard

The legacy claims system encoded process in code. Every regulatory change required a quarterly release, and audit findings on evidence handling were rising.

Decision

The path we chose

Moved process rules into a governed workflow engine and made evidence handling tamper-evident by design.

Build

Workflow as data

We replaced hard-coded claim flows with a workflow engine where business analysts could safely change routing, SLAs, and approvals without a code change. Every change was versioned and audit-logged.

Claims evidence was stored with append-only audit trails, cryptographic hashing, and customer-data-residency controls aligned with the regulator’s expectations.

Outcome

Measured impact

Median claim cycle time fell 31% across motor, home, and travel lines.

Regulatory audit findings dropped 72% year-over-year.

What changed after launch

New behavior

Regulatory changes could be modeled, versioned, and audited without waiting for a quarterly software release.

Outcome

The numbers that mattered.

Cycle time
0%
Audit findings
0%
Adjuster capacity
+0%
The adjusters got speed, compliance got evidence, and neither group had to trade off against the other.
E. NovakClaims transformation director · European insurer
Before and after

The transformation the client could see.

The work was not abstract modernization. It changed day-to-day behavior, ownership, and the evidence leaders used to make decisions.

Before

  • Claims process encoded in code
  • Quarterly release dependency
  • Evidence audit findings rising

After

  • Workflow changes versioned by analysts
  • Append-only evidence vault
  • 31% faster median cycle time
Architecture and delivery

A controlled path from discovery to launch.

The delivery plan made the system boundary explicit, then used rehearsals, gates, and telemetry to optimize safely before launch.

Delivery architecture

Insurance control loop

DiscoverModelBuildLaunchTelemetry and feedback optimize the next release
  1. Discover

    Workflow as data

    We replaced hard-coded claim flows with a workflow engine where business analysts could safely change routing, SLAs, and approvals without a code change. Every change was versioned and audit-logged.

  2. Launch

    Evidence vault with tamper-evidence

    Claims evidence was stored with append-only audit trails, cryptographic hashing, and customer-data-residency controls aligned with the regulator’s expectations.

Build

How we shaped the work.

Workflow as data

We replaced hard-coded claim flows with a workflow engine where business analysts could safely change routing, SLAs, and approvals without a code change. Every change was versioned and audit-logged.

Evidence vault with tamper-evidence

Claims evidence was stored with append-only audit trails, cryptographic hashing, and customer-data-residency controls aligned with the regulator’s expectations.

What changed after launch

What shipped, and what it changed.

  • Median claim cycle time fell 31% across motor, home, and travel lines.
  • Regulatory audit findings dropped 72% year-over-year.
  • Adjuster effective capacity increased 24% without headcount change.

After launch

Regulatory changes could be modeled, versioned, and audited without waiting for a quarterly software release.

Stack

What we built it with.

.NET

TypeScript

PostgreSQL

Camunda

Azure

Azure AD

Datadog

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A claims modernization that closed cases 31% faster — and audit-ready — Case Study | MayaLogic