The business challenge
Claims intake is coordinated through shared inboxes and spreadsheets, with status tracked from memory and handoffs depending on whoever answers first.
An illustrative use case showing how email-led coordination could be replaced with a Pega case journey connecting intake, decisions, integrations and accountable work.
Illustrative use case, not a customer case study. The organization described (a u.s. mid-market insurer) is a hypothetical example, not a named or real client, and nothing below reports a delivered result.
Claims intake is coordinated through shared inboxes and spreadsheets, with status tracked from memory and handoffs depending on whoever answers first.
Design a single Pega case journey covering intake, triage, decisioning and downstream integrations, with clear ownership at every stage and visibility into where each case stands.
Traceable handoffs, exceptions that surface automatically instead of silently, and earlier sight of backlog risk. Suggested measures: time to first action, handoff count per case, exception ageing and backlog trend.
Next action: Bring us a workflow that still runs on inboxes and handoffs.
Related capability: Pega Application Delivery ↗
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