Complete Insurance Claim Management Platform for US National Insurance Claims Adjusting Firm.

Aspen Claims wanted to transform insurance claims processing through a modern web platform. Working with CMARIX, they were able to combine their industry expertise with technological innovation. This led to a creation of a complete solution that streamlines workflows, improves communication, and provides real-time claim management capabilities.

Our team suggested building a robust, scalable platform using .NET Core, enabling seamless interactions for adjusters, reviewers, and clients while integrating with critical industry systems.

Technology.Net Core 8.0, HTML, CSS, JavaScript, Jquery, Linq, Entity Framework DB First, LinQ
Third Party IntegrationSymbility Integration, XactAnalysis
IndustryInsurance Claims Management
AccessUnited States (USA)
Built ForWeb Application
DatabaseMSSQL

Breaking Down Barriers Reimagining Insurance Claims Management

Challenges in USA Insurance Claims Management

Market Context: The US insurance claims management landscape has been plagued by systemic inefficiencies that significantly impact both insurers and policyholders. Aspen Claims identified several critical challenges:

Fragmented Communication Ecosystem

Disjointed communication between adjusters, insurers, and claimants
No real-time tracking and lack of transparency in information sharing
Multiple platforms creating information silos

Time-Consuming Claims Processing

Traditional claims processes take longer, generally weeks or months
Manual documentation and verification processes
High administrative overhead and operational costs

Inconsistent Claims Evaluation

Subjective assessment methodologies
Lack of standardized evaluation criteria
Potential for human error and bias in claims processing

Technological Limitations

Outdated legacy systems
Limited integration capabilities
Poor data management and synchronization

Customer Experience Challenges

Lack of transparency in claims status
Complex and confusing claims procedures
Minimal digital engagement options

Regulatory Compliance Complexities

Varying state-level insurance regulations
Complex documentation requirements
High compliance management costs

Engineering Innovation A Robust Platform for Claims Management

Architectural Approach

Microservices-based architecture
Scalable and modular design
Secure multi-tenant platform
Real-time data synchronization

Core Architectural Components

Modular System Design

Decoupled service components
Independent scalability
Flexible integration capabilities

Multi-Role Access Management

Granular role-based access control
Secure authentication mechanisms
Dynamic permission management

Data Integration Layer

Seamless third-party platform integration
Real-time data synchronization
Standardized data exchange protocols

Performance Optimization

Caching mechanisms
Efficient query optimization
Asynchronous processing capabilities

Redefining Efficiency The Aspen Claims Functional Ecosystem

Multi-Role Functionality

Admin/Manager Role

Comprehensive dashboard
User management
Claims oversight
Reporting and analytics
System configuration

Field Adjuster Capabilities

Claim assignment management
On-site inspection tracking
Real-time claim status updates
Time logging and documentation
Mobile-friendly interface

File Reviewer Functions

Document verification
Claim assessment
Correction request management
Detailed report generation
Quality control mechanisms

Client Interaction Features

Claims tracking portal
Automated notifications
Document upload capabilities
Invoice and billing management

Advanced Workflow Features

Automated claim routing
Intelligent claim prioritization
Real-time collaboration tools
Comprehensive audit trails
Integrated communication channels

Powering Claims Processing A Deep Dive into Backend Innovation

Backend Architecture Highlights

Scalable .NET Core 8.0 infrastructure
Domain-driven design approach
Microservices-based backend architecture
Advanced security implementation

Core Backend Components

Authentication & Authorization

Identity management system
Multi-factor authentication
Role-based access control (RBAC)
JWT token-based authentication
OAuth 2.0 integration

Data Management Layer

Entity Framework Core (Database First)
LINQ for complex query management
Robust data validation mechanisms
Efficient ORM mapping
Transaction management

API Development

RESTful API architecture
Swagger/OpenAPI documentation
Versioned API endpoints
Comprehensive error handling
Performance-optimized API design

Security Implementation

Advanced encryption protocols
Input validation and sanitization
Protection against common vulnerabilities
Secure data transmission
Compliance with OWASP guidelines

Typography

Poppins

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Brand Color

Light Celery rgba(212, 227, 186, 1)

Leaf Green rgba(108, 162, 18, 1)

Pure White rgba(255, 255, 255, 1)

Dark Teal rgba(32, 76, 101, 1)

Slate Gray rgba(76, 84, 84, 1)

Tech Stack and Third-Party APIs

Comprehensive Tech Stack

Backend Technologies
.NET Core 8.0 , C# , LINQ , Entity Framework , ASP.NET Core Web API
Frontend Technologies
HTML5 , CSS3 , JavaScript , jQuery , Bootstrap/Tailwind CSS
Cloud & Hosting
Azure Cloud Services , Docker Containerization , Kubernetes Orchestration
Database
Microsoft SQL Server , Entity Framework Core , Stored Procedures , Database First Approach

Third-Party API Integrations

Claims Processing
Symbility Claims API , XactAnalysis Integration , CoreLogic Claims Platform
Communication
Twilio SMS API , SendGrid Email API , Lob Physical Mail API
Mapping & Location
Google Maps API , Google Geocoding API , MapBox Geocoding Services
Financial & Tax
Avalara Tax Compliance API , QuickBooks Accounting API , Stripe Payment Processing
Authentication & Security
Auth0 Identity Management , Microsoft Azure Active Directory , Google reCAPTCHA
Document Management
DocuSign API , Adobe Sign API , Dropbox API
Analytics & Reporting
Google Analytics , Mixpanel User Analytics , Segment Customer Data Platform

Additional Technical Integrations

SignalR for real-time communications
Elastic Search for advanced search capabilities
Redis for caching and performance optimization

Compliance & Standards

HIPAA Compliance
SOC 2 Security Standards
GDPR Data Protection Guidelines