Sentosa, Steve
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Journal : Sinkron : Jurnal dan Penelitian Teknik Informatika

Designing Claim Systems in Health Insurance Companies with Microservices and Event-Driven Architecture Approach Sentosa, Steve; Makmur, Amelia; Santoso, Handri
Sinkron : jurnal dan penelitian teknik informatika Vol. 8 No. 3 (2024): Research Artikel Volume 8 Issue 3, July 2024
Publisher : Politeknik Ganesha Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33395/sinkron.v8i3.13677

Abstract

Through digital transformation, insurance companies, especially in the health sector, are increasingly adopting modern technologies to enhance efficiency and service quality. Health insurance allows individuals or families to mitigate the financial risks associated with high and unexpected medical expenses. One crucial area is insurance claim, where a fast and accurate process is key to customer satisfaction. This study proposes the design and architecture of an insurance claim system using a microservices and event-driven approach. This approach enables insurance companies to break down applications into separate components, facilitating scalability, flexibility, and easier maintenance. Additionally, with an event-driven approach, the system can quickly respond to changes and events in the business environment. A comprehensive analysis shows that implementing microservices and event-driven architecture in the insurance claim system can enhance overall system performance, scalability, and resilience. For insurance companies, adopting microservices and event-driven architecture can lead to increased operational efficiency, reduced time to market for new products, and improved customer experiences through faster claim processing. Policyholders will benefit from quicker claim resolutions and a more transparent and responsive claim process. This study provides valuable insights for health insurance companies looking to upgrade their IT infrastructure to meet future challenges. The findings from this research will be documented to support the development of insurance business technology, specifically for health insurance claims in Indonesia.
Enterprise Architecture of the Basic Banking Feature for a New Challenger of Digital Banking in Indonesia Sentosa, Steve; Indrajit, Richardus Eko; Dazki, Erick
Sinkron : jurnal dan penelitian teknik informatika Vol. 8 No. 4 (2024): Article Research Volume 8 Issue 4, October 2024
Publisher : Politeknik Ganesha Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33395/sinkron.v8i4.14116

Abstract

Digital transformation has significantly impacted Indonesia's banking industry, leading to the rise of digital banks that leverage technology for their operations, posing challenges to traditional banking models. This research investigates the implementation of enterprise architecture within the core features of digital banking in Indonesia, utilizing the TOGAF framework and Archimate modeling. The study's primary objective is to identify the core processes, challenges, and opportunities associated with managing the complex architecture of digital banks. Employing a qualitative methodology, data were gathered through in-depth interviews, direct observations, and a review of pertinent literature. The research identified three central processes in digital banking operations: deposits, time deposits, and loans. These processes were then modeled using the TOGAF framework and Archimate to align business strategies with operational activities more effectively. The SWOT analysis conducted highlights digital banks' strengths in operational efficiency, strategic partnerships, and innovation capabilities, while also recognizing weaknesses such as technological dependency and challenges in serving the less tech-savvy population. The study also identifies opportunities for product innovation, market expansion, and ecosystem integration. However, threats like regulatory changes, increased competition, and cybersecurity risks must be carefully managed. The research recommends adopting emerging technologies, enhancing third-party risk management, and improving customer data security and privacy to bolster digital banks' global competitiveness, operational sustainability, and service innovation.