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Claims Automation QA for a P&C Insurer

About the Client

The client is a multi-state property and casualty (P&C) insurance carrier managing high-volume claims across multiple markets. Its automated claims workflows supported first notice of loss (FNOL), adjuster approvals, and payment triggers, but limited end-to-end test coverage created uncertainty around release quality. The insurer needed a scalable QA strategy to strengthen automation reliability, accelerate regression cycles, and reduce production defects. To address these challenges, the carrier partnered with Zymr.

Key Outcomes

80% Reduction in Production Defects
30% Faster Settlement Time

Business Challenges

The insurer relied on multiple automated workflows to process claims, from FNOL intake through adjuster approvals and settlement payments. However, limited end-to-end validation made it difficult to identify defects across complex workflow dependencies before production deployment.

Regression testing was heavily manual and time-consuming. Each release required extensive validation across claims scenarios, taking up to five days to complete and slowing delivery cycles.

The absence of comprehensive load testing also created concerns around system performance during periods of high claims volume. Defects that escaped into production increased operational risk and could delay claim processing and settlement.

The insurer needed a robust QA and automation framework that could continuously validate critical claims workflows, improve release confidence, and accelerate testing without compromising coverage.

Business Impacts / Key Results Achieved

Zymr implemented an end-to-end QA strategy that strengthened automated claims validation, accelerated regression testing, and improved overall application reliability.

  • 80% Reduction in Production Defects
  • Regression Execution Reduced from 5 Days to 1.5 Days
  • 30% Improvement in Settlement Time
  • Automated End-to-End Validation of FNOL Workflows
  • Improved Release Confidence Across Claims Processes

Strategy and Solutions

Zymr designed and implemented a comprehensive QA automation framework aligned with the insurer's claims workflows and continuous delivery requirements.

  • End-to-End Workflow Testing
    Validated critical claims journeys across FNOL, adjuster approvals, payment triggers, and downstream workflow dependencies.
  • CI/CD Regression Automation
    Integrated automated regression suites into CI/CD pipelines to enable faster and more consistent validation with every release.
  • Load and Performance Testing
    Tested claims workflows under varying transaction volumes to identify performance bottlenecks and improve application stability.
  • Integrated Defect Management
    Connected testing and defect management processes to improve issue visibility, prioritization, tracking, and resolution across teams.
  • Claims Workflow Validation
    Established comprehensive test scenarios covering business rules, workflow transitions, approvals, and payment processing.
  • Continuous QA Optimization
    Continuously refined automation coverage and testing processes to reduce regression effort, improve release quality, and support faster claims settlement.
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