Eclatprime Insurance Services
Eclatprime partners with insurers to modernize underwriting, claims, policy administration, and data-driven engagement—leveraging Pega’s low-code Digital Process Automation platform for end-to-end efficiency and innovation.
services : Ai solutions
client : Aivora
location : New York,NY,USA
completed date : 20-12-2025
Automated Underwriting & Risk Scoring
- ML-Driven Risk Models & NLP Extraction: Accelerate policy approvals with AI-based scoring and automatic extraction of application documents.
- Unified Low-Code Platform: Orchestrate application intake, risk assessment, policy issuance, renewals, and endorsements.
- Real-Time Regulatory Compliance Checks: Ensure policies adhere to evolving jurisdictional requirements automatically.
- Adaptive Learning Models: Continuously refine risk parameters based on historical claims and emerging trends.
Intelligent Claims & Fraud Management
- AI-Powered Claims Triage: Automate FNOL intake, damage estimation, and routing for faster resolution.
- Fraud Detection & Case Automation: Use machine learning to flag suspicious claims and drive investigation workflows.
- Customer Self-Service Portals: Guided claim submission and status updates reduce call center dependency.
- Comprehensive Audit Trails: Maintain end-to-end traceability for regulatory compliance and reporting accuracy.
Solution and result
The proposed AI solution leverages advanced machine learning algorithms, real-time data analytics, and automation technologies to transform traditional operations into intelligent, adaptive processes. By integrating predictive analytics, the system anticipates potential disruptions, optimizes resource allocation, and automates routine tasks, enabling businesses to operate with greater precision and efficiency.
he AI-driven insights empower decision-makers to respond swiftly to changing conditions, reducing downtime and operational costs significantly. Furthermore, continuous learning capabilities ensure that the system evolves alongside the business environment.
Back-Office Hyper-Automation
Seamlessly transition to the take advantage of the very latest Pega innovations We enable smooth, low-risk platform upgrades and cloud migrations to modernize and future-proof your Pega ecosystem.
- RPA & Low-Code Workflow Integration: Automate premium billing, endorsements, cancellations, and regulatory reporting 24×7.
- Real-Time Operational Dashboards: Monitor claims backlog, policy lifecycle KPIs, and compliance metrics.
- Automated SLA Monitoring: Proactively alert teams on upcoming deadlines to maintain service levels.
- Integration with Regulatory Feeds: Automatically update business rules based on external compliance sources.
Insurance Data Management & Analytics
- Centralized Data Lake & Streaming Analytics: Create a 360° view of policyholders, claims, and risk exposures in real time.
- Predictive Churn & Next-Best-Action Models: Drive personalized renewals, cross-sell, and retention campaigns.
- Geospatial Risk Mapping: Leverage location-based analytics to optimize underwriting and portfolio management.
- Sentiment Analysis: Analyze customer feedback and support interactions to enhance service and satisfaction.
Workforce Productivity & Operations Excellence
Design Smarter, Faster, and Predictably
With Pega GenAI Blueprint, our teams design and model business solutions using industry best practices—accelerating discovery, clarity, and business-IT alignment.
Key Capabilities:
- RPA-Augmented Processes: Automate transaction posting, statement generation, regulatory filings and more.
- Operational Intelligence Dashboards: Monitor throughput, turnaround times and SLA compliance in real time.
- Digital Training & Onboarding: Streamline employee certification, performance tracking and role-based e-learning.
- Legacy Modernization: Wrap monolithic systems with modern, low-code front-ends to extend life and reduce risk.
From idea to design—accelerated with Pega GenAI Blueprint.
Reporting & Insight Dashboards
- Real-Time Data Visibility to Drive Decisions
- Role-specific dashboards and widgets
- Conditional formatting, filters, and metrics
- Export-ready reports and summary tables
- Cross-app reporting for unified insights
- Power BI / Tableau integration for analytics