Project Description

Xorbix partnered with a leading Midwest-based insurance provider to integrate One Inc’s ClaimsPay digital payment solution, transforming their outdated manual claims payment system into a modern, fully automated digital process. The project aimed to replace traditional check disbursements with secure and instant digital payments through multiple channels, including direct deposits, debit cards, and e-wallets.

Leveraging our digital transformation and custom application development expertise, Xorbix designed and implemented a seamless connection between the client’s legacy claims management system and the new ClaimsPay API infrastructure. This integration not only streamlined the claims payout process but also helped the insurer achieve significant cost reductions, faster transactions, and improved customer satisfaction through a secure, user-friendly digital payment experience.

Challenge

Problem

1. The insurer relied heavily on manual check payments, costing approximately $25 per claim transaction.

2. The legacy payment system was outdated and incompatible with modern digital payment technologies.

3. Existing processes lacked automation, leading to delays and increased administrative overhead.

4. The insurer faced rising operational costs and inefficiencies in managing thousands of daily claim disbursements.

5. Integration between third-party systems and internal claims systems was complex and undocumented.

6. The company needed a scalable, secure, and compliant solution that ensured business continuity during migration.

Project Goals

Technical Goals

  • Reverse-engineer the soon-to-be-retired third-party payment system to understand existing workflows.
  • Implement the ClaimsPay APIs and webhooks to handle complete digital payment cycles.
  • Ensure seamless integration between the legacy claims system and the new payment infrastructure.

Operational Goals

  • Transition from paper-based checks to automated digital disbursements, reducing cost per payment.
  • Improve processing speed and accuracy through workflow automation using Xorbix’s enterprise application integration
  • Enhance data tracking and reporting for improved transparency and auditability.

Strategic Goals

  • Enable faster and more secure payments to claimants and vendors through preferred digital channels.
  • Increase customer satisfaction and retention with a modern, frictionless payment experience.
  • Establish a scalable digital payment framework adaptable to future fintech integrations.

Solution

Xorbix engineered a unified .NET-based payment service integrated with SQL and DB2 systems, modernizing the insurer’s payment infrastructure and enabling seamless communication with One Inc’s ClaimsPay APIs.

System Analysis and Documentation

  • Documented all legacy tables, stored procedures, and data objects to ensure complete visibility of the existing payment ecosystem.
  • Created detailed ER diagrams, data flow diagrams, and logical architecture models to understand system dependencies.
  • Used Microsoft Visio to visualize the Java/XML-based legacy framework and its payment execution logic.

Architecture Design and Planning

  • Designed a scalable system architecture that supports digital payment workflows.
  • Defined communication layers for ClaimsPay API integration and internal claims system synchronization.
  • Ensured compliance with enterprise software architecture standards to improve maintainability and scalability.

Unified Payment Service Development

  • Built a .NET-based payment application with a centralized SQL database to manage business logic and transactions.
  • Implemented API request/response handlers for ClaimsPay to manage the complete payment lifecycle.
  • Integrated DB2 Claims data operations within the unified system for smooth and secure data exchange.

Integration and Data Synchronization

  • Established a central data repository for synchronized Claims and Payment records.
  • Implemented real-time feedback mechanisms for payment status updates.
  • Enhanced system reliability through robust database management and integration testing using Xorbix’s custom software development services.

High Level Architecture

Innovations

  • Implemented asynchronous processing using Azure Functions to handle large payment volumes efficiently.
  • Leveraged Service Bus messaging for decoupled, event-driven payment workflows.
  • Optimized API calls with continuous event listeners for scalable real-time communication.
  • Enabled synchronous payment feedback updates to reduce transactional load on live systems.
  • Introduced stored payment methods to enhance user convenience and reduce processing time.

Security

  • Deployed multi-factor authentication (MFA) using client emails, SMS, and challenge questions for secure payment validation.
  • Ensured data integrity and encryption for sensitive financial information during transmission and storage.
  • Implemented role-based access controls (RBAC) for internal systems to limit unauthorized access.
  • Integrated Azure security configurations and SPLUNK monitoring to detect and mitigate potential risks.
  • Conducted automated health checks and unit testing for continuous system reliability and compliance.

Core Technologies

  • NET Core and ASP.NET Framework for enterprise-grade backend services.
  • SQL Server and DB2 Databases for robust, high-volume data management.
  • Microsoft Azure Function Apps, APIM, and Configuration Manager for scalable cloud operations.
  • Azure DevOps and Octopus Deploy for automated CI/CD pipelines.
  • SPLUNK for centralized logging, dashboards, and real-time monitoring.
  • Unit Test Frameworks for continuous testing and performance validation.

Process

Agile Development Framework

Collaborative Team Structure

Performance Monitoring and Optimization

Results

  • Massive Cost Savings: Eliminated per-check fees, saving the insurance provider millions in operational costs.
  • Expanded Payment Reach: Enabled automated disbursements to insureds, claimants, vendors, and agents through a unified system.
  • Modern Payment Flexibility: Supported debit cards, direct deposits, PayPal, Venmo, pre-paid cards, and traditional checks.
  • Disaster-Ready Transactions: Allowed instant payments during emergencies using CAT cards for catastrophic events.
  • Enhanced Efficiency: Significantly reduced payment processing times and manual interventions.
  • Seamless Integration: Modernized legacy systems through .NET-based APIs and Azure cloud architecture for reliability and scalability.

Optimize your insurance payments with secure, automated digital disbursement solutions.

A trusted custom software development company specializing in .NET integrations and digital transformation for enterprise-scale organizations.

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