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HCLTech ADvantage Pega D.I.C.E. Solution

HCLTech D.I.C.E. - Digital Insurance Claims Experience platform - insurance claims risks & raffles to circumvent

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Insurance fraud is any act committed to defraud an insurance process. This occurs when a claimant attempts to obtain some benefit or advantage they are not entitled to, or when an insurer knowingly denies some benefit that is due. Insurance Fraud is no longer a victim-less crime, instead it has a cascading impact on all the stakeholders bearing the fraud-loss. Hence there is a great urge & demand to develop a system that can identify potential frauds with accuracy and arrest it at the very initial stage for detailed scrutinization. Some of the key problems faced by Insurance Organizations:

  • Paper-forms that are manual & error-prone
  • Multiple Handoffs with limited transparency
  • Limited Input Channel Support
  • Data stored in pockets across various legacy systems
  • Reactive Detection of Fraudulent claims
  • Speed of Settlement is slow, impacting customer experience
  • Limited personalization or 1:1 engagement
  • Increased Operational Expenditure / Cost

A solution for NextGen Insurance Platform, built leveraging Robotic Process Automation, Pega Case Management, AWS Machine Learning & the HCLTech ADvantageTM Azure Intelligent Assistant. It helps customers embarking on a digital journey and how the seamless interlock across the products can be achieved.

Why build a solution with Pega + other Ecosystem Partners, when Pega Infinity Platform can address them all?

Pega Infinity Platform's enterprise blueprint and cutting edge offering it can put a tick in a box for many areas (CRM, Case Management, Decisioning, AI/ML, Marketing, RPA, IVA to name a few). With this offering we want to create a pathway for ensuring how malleable & flexible Pega can be in a heterogeneous ecosystem. It also helps in creating a "better-together" strategy for addressing a customer landscape with diversified investment & complementing ecosystem products.

Business Benefits:

  • Improve Productivity & faster time to market
  • Reduce Manual hand-offs & overheads with STPs
  • Reduce Operational Cost (OpEx)
  • Multi-lingual conversation and voice enabled assistants
  • Eliminate mundane & monotonous tasks with OCR & RPA
  • Personalized Customer Experience
  • Providing a human-face to your brand
  • Elevation of the Nature of Work
  • Improve Speed & Scale
  • Proactive detection of Fraudulent Claims with AI/ML techniques

Key Features

  • HCLTech ADvantageTM Azure Intelligent Assistant (Chatbot, Multilingual, OCR, Virtual Assistant - Alexa/Google Assistant)
  • Robotic Process Automation (Automated email parsing & processing of claims - leveraging UiPath)
  • AWS Machine Learning / Sagemaker Integration for Fraud Detection / Prediction
  • Google Map APIs integration for Street View
  • Pega 8.x for Case Management Implementation
  • WhatsApp Integration for fetching claim status info (leveraging Twilio Integration)
  • Workato for iPaaS layer and defining a loosely coupled architecture
=HCL Technologies Ltd

Partner Name

HCL Tech


Offering Type

Packaged Service Offering
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