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Pacific Claims Management Case Study

PCM’s initial goal was to host a claims software solution on premises. “When we started, we focused on running our server. We believed that would provide the tangible control we needed,” says Bugg. PCM evaluated a few providers and software options before deciding to run Insurity SIMS Claims software in a self-hosted environment.

“We wanted to talk to a company we knew had been successful in our industry. We approached Insurity about its SIMS solution because we felt it would be the best software to grow our business,” says Laval. “Because the SIMS software is designed by worker’s compensation experts with experience in the industry, they're able to understand any challenges we have or questions we raise quickly, and efficiently make changes for us within our guidelines. And by working within a platform that’s tailored to our industry, we’ve been able to evolve a number of our internal processes,” says Bugg.

However, the PCM internal team did not have the expertise to run and manage claims software. They team quickly found that self-hosting and managing the claims software took more time and was less cost-effective than they’d envisioned. “There are continuous updates and changes needed for the software to stay current,” says Laval. “Updating a claims system is cumbersome given the number of schedules, regulations, and additional information that must be regularly updated and changed, potentially in every state in which you write. We could not afford to be stagnant with our technology, and we ended up incurring large consulting fees to run the software on our hardware effectively."

The team wanted a hosted solution that enabled them to focus less on software updates and management and spend more time driving effective client solutions. The company again turned to Insurity, this time interested in the SIMS Cloud software as a service (SaaS) solution, Insurity’s hosted version of SIMS Claims software running on AWS.

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