This case study details the experience of transforming a highly political, over- burdened and mostly manual governmental claims processing system into a highly efficient and effective system via the application of world-class solution architecture and information technologies products. It examines the direct benefits of following a structured approach that effectively decomposes the business layer into a collection of requirements backed by BPMN 2.0 process models, followed by the subsequent composition of the solution through the application and technology layers.
An emphasis on correctly positioning layered architecture principles are crucial to the formation and evaluation of an appropriate solution architecture. Of particular importance, once a layered architectural perspective is adopted, it becomes possible to cleanly abstract a process layer, whose functionality can be fulfilled via model-driven execution. In this case, this functionality is provided by the Living Systems Process Suite (LSPS) from Whitestein Technol- ogies, a recognized visionary product in Gartner’s intelligent Business Process Manage Suite (iBPMS) Magic Quadrant.
This case study is structured as follows – first, it provides necessary back- ground which serve as a backdrop to the problem, revealing issues of size and scope. Next it provides insight into the initial BPM-focused analysis that was conducted. This discussion is followed by an examination of a collection of transitional solution architecture diagrams that illustrate the evolutionary approach taken to delivering the full capabilities of the automated claims processing solution. Finally, the last section presents both results and concludes with a summary of lessons learned.