Case study 05 · Embedded insurance
Flexible cover and claims platform
A customer and admin platform that makes cover, premiums, payments, and claims easier to understand and manage.
Customer + admin product prototype · Client name withheld
- Benefits
- Premiums
- Claims
Challenge
Traditional cover can be rigid and hard to follow. Customers need to see who is covered, what each benefit costs and what evidence a claim needs, and operators need the same in a usable form.
Make benefits flexible without making prices unclear, and connect the customer journey to policy, payment, claims, fraud review and reconciliation.
System response
Customers get a visual benefit builder, cover choices per member, clear premium breakdowns, payment tracking and guided claims. Admins get claim queues, case review, fraud investigation, benefits, policies and payment reconciliation.
Product scope
- Member and beneficiary configuration
- Base cover plus selectable benefits
- Transparent premium calculation
- Payment status and policy-standing views
- AI-generated claim checklists and document extraction
- Claims queue, investigation, case management, and reconciliation
System architecture
A configurable plan model links members, benefits, and premiums.
Customers see price changes before they commit.
Payments update policy standing and customer visibility.
Claims collect context, required evidence, and extracted fields.
Admin workflows separate review, investigation and payout.
Observable outcome
What the product and its repository show. These are not confidential client figures.
Flexible benefit selection with understandable cost impact
A continuous journey from policy design to claims servicing
Structured evidence for operator review and reconciliation
Repository evidence
- End-to-end customer product demonstration
- Dedicated claims and document-analysis flow
- Claims, fraud, benefits, policies, and payments administration
Built with
- Next.js
- TypeScript
- Configurable pricing
- Document extraction
- Claims operations UI