{"id":28411,"date":"2026-04-28T13:55:54","date_gmt":"2026-04-28T13:55:54","guid":{"rendered":"https:\/\/advanceworks.ai\/?p=28411"},"modified":"2026-04-30T11:41:00","modified_gmt":"2026-04-30T11:41:00","slug":"claims-data-model-amp-reporting","status":"publish","type":"post","link":"https:\/\/advanceworks.ai\/pt\/claims-data-model-amp-reporting\/","title":{"rendered":"Claims Data Model &amp; Reporting"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"28411\" class=\"elementor elementor-28411\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-48b1fdd e-con-full e-flex e-con e-parent\" data-id=\"48b1fdd\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-74cf013 e-con-full e-flex e-con e-parent\" data-id=\"74cf013\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-a0757e5 e-con-full e-flex e-con e-child\" data-id=\"a0757e5\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-edcf267 elementor-widget elementor-widget-heading\" data-id=\"edcf267\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Use Cases<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b66203f elementor-widget-mobile__width-inherit elementor-widget__width-initial dot-headings-all elementor-widget elementor-widget-einar_core_custom_font\" data-id=\"b66203f\" data-element_type=\"widget\" data-widget_type=\"einar_core_custom_font.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"qodef-custom-font-holder\">\n<h3 class=\"qodef-shortcode qodef-m  qodef-custom-font qodef-custom-font-459 qodef-layout--simple    qodef-title-break--disabled  qodef-decoration--circle \" style=\"color: #000000;font-size: 3vw\">\n\t\t\t\t\t\tIndustry: Insurance | Services: Data, Transformation Services\t\t\n\t\t<span class=\"qodef-e-decoration\" style=\"color: #000000\"><svg class=\"qodef-svg--decoration-circle-big\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"45\" height=\"45\" viewBox=\"0 0 45 45\" fill=\"currentColor\"><path d=\"M22.5,45a21.9294,21.9294,0,0,1-8.7246-1.7471A22.8417,22.8417,0,0,1,1.7366,31.2358,21.5312,21.5312,0,0,1,0,22.5a22.0429,22.0429,0,0,1,1.7788-8.7358A22.952,22.952,0,0,1,6.6267,6.5947a22.5781,22.5781,0,0,1,7.1587-4.8472A21.858,21.858,0,0,1,22.5,0a21.9789,21.9789,0,0,1,8.7461,1.7476,22.4274,22.4274,0,0,1,7.16,4.8472,22.9154,22.9154,0,0,1,4.8262,7.1694A22.1723,22.1723,0,0,1,45,22.5a21.671,21.671,0,0,1-1.7246,8.7358,22.8132,22.8132,0,0,1-4.8379,7.17,22.5118,22.5118,0,0,1-7.18,4.8472A22.07,22.07,0,0,1,22.5,45Z\"\/><\/svg><\/span>\t<\/h3>\n<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ea836c elementor-widget elementor-widget-text-editor\" data-id=\"5ea836c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>Industry:<\/strong> Insurance | <strong>Services:<\/strong> Data, Transformation Services<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2d422e2 e-con-full e-flex e-con e-parent\" data-id=\"2d422e2\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-3ebc07a e-con-full e-flex e-con e-child\" data-id=\"3ebc07a\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0d31b63 elementor-widget elementor-widget-image\" data-id=\"0d31b63\" data-element_type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_on&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;],&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_offset&quot;:0,&quot;sticky_effects_offset&quot;:0}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1707\" height=\"2560\" src=\"https:\/\/advanceworks.ai\/wp-content\/uploads\/2026\/04\/businessman-working-on-documents-data-analysis-of-2026-01-09-01-13-03-utc-scaled.jpg\" class=\"attachment-full size-full wp-image-28419\" alt=\"\" srcset=\"https:\/\/advanceworks.ai\/wp-content\/uploads\/2026\/04\/businessman-working-on-documents-data-analysis-of-2026-01-09-01-13-03-utc-scaled.jpg 1707w, https:\/\/advanceworks.ai\/wp-content\/uploads\/2026\/04\/businessman-working-on-documents-data-analysis-of-2026-01-09-01-13-03-utc-200x300.jpg 200w, https:\/\/advanceworks.ai\/wp-content\/uploads\/2026\/04\/businessman-working-on-documents-data-analysis-of-2026-01-09-01-13-03-utc-683x1024.jpg 683w, https:\/\/advanceworks.ai\/wp-content\/uploads\/2026\/04\/businessman-working-on-documents-data-analysis-of-2026-01-09-01-13-03-utc-768x1152.jpg 768w, https:\/\/advanceworks.ai\/wp-content\/uploads\/2026\/04\/businessman-working-on-documents-data-analysis-of-2026-01-09-01-13-03-utc-1024x1536.jpg 1024w, https:\/\/advanceworks.ai\/wp-content\/uploads\/2026\/04\/businessman-working-on-documents-data-analysis-of-2026-01-09-01-13-03-utc-1365x2048.jpg 1365w\" sizes=\"(max-width: 1707px) 100vw, 1707px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-14ca7e4 e-con-full e-flex e-con e-child\" data-id=\"14ca7e4\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-edc4a9e elementor-widget elementor-widget-heading\" data-id=\"edc4a9e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How we helped a leading European insurance group replace fragmented,\nmanual claims reporting with a unified data model and self-service Qlik\ndashboards \u2014 giving operations and claims managers a single, reliable source\nof truth.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-090043e elementor-widget elementor-widget-text-editor\" data-id=\"090043e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>About the project:<\/strong><\/p><p>The operations team at a major European insurance group needed reliable, timely visibility into claims performance and claims managers KPIs \u2014 but the data they needed was scattered across disconnected systems, primarily Oracle and SAS. With no integration layer in place, teams were relying on slow manual reporting processes that produced inconsistent metrics and delayed critical decisions. AdvanceWorks was brought in to solve this at the root. The engagement covered three interconnected workstreams: consolidating claims, payments, and management activities into a single governed data model; building a robust ETL pipeline to extract, cleanse, and harmonize data from multiple source systems; and delivering an intuitive Qlik reporting layer that puts self-service analytics directly in the hands of operations managers \u2014 without needing to involve IT for every query.<\/p><p><strong>Team Collaboration:<\/strong><\/p><p><span style=\"font-weight: 400;\">A multidisciplinary team of AI engineers, cloud architects, and data specialists worked closely to design, implement, and integrate the voice application, backend workflows, and analytics layers. This collaboration ensured a seamless flow of conversational data into actionable recruitment insights.<\/span><\/p><p><strong>Goals achieved:<\/strong><\/p><ol><li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Integrated data ecosystem:<\/strong> A new governed claims data model in Qlik<br \/>provides a single source of truth across the organization<\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><strong>End-to-end ETL pipeline:<\/strong> Fully automated extraction, transformation,<br \/>and loading from Oracle and SAS, with data quality controls and lineage<br \/>tracking.<\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Operational KPIs:<\/strong> Real-time visibility on resolution time, closure cycle,<br \/>and payment efficiency \u2013 standardized across the organization.<\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Self-service analytics:<\/strong> Claims managers can now explore data<br \/>independently through interactive Qlik dashboards built for granular, on-<br \/>demand analysis.<\/li><\/ol><p><strong>Results:<\/strong><\/p><p>With all claims data now flowing through a single governed pipeline, the operations team has reclaimed time that was previously spent on manual data preparation. Instead of chasing numbers across disconnected systems, managers can open a dashboard and have the answers they need \u2014 in real time, with full confidence in the data behind them.<\/p><p>The standardized KPI framework means that decisions across the organization are now based on the same metrics, eliminating the inconsistencies that previously led to conflicting reports and misaligned priorities. Claims lifecycle tracking and payment efficiency are now continuously visible, making it significantly easier to identify bottlenecks and act on them quickly.<\/p><p>The broader impact is a shift in how the organization approaches claims management: from reactive and report-dependent to proactive and data-driven. The platform directly supports ongoing efforts to shorten claim lifecycles, accelerate payment cycles, and improve overall operational transparency.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b10a6f2 e-con-full e-flex e-con e-parent\" data-id=\"b10a6f2\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a15958f elementor-widget elementor-widget-shortcode\" data-id=\"a15958f\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>How we helped a leading European insurance group replace fragmented,<br \/>\nmanual claims reporting with a unified data model and self-service Qlik<br \/>\ndashboards \u2014 giving operations and claims managers a single, reliable source<br \/>\nof truth.<\/p>","protected":false},"author":2,"featured_media":28419,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[129],"tags":[143],"industryc":[],"class_list":["post-28411","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-use-cases","tag-other"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Claims Data Model &amp; 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