Insurance Technology Consulting

Modernize the work around your insurance core

GrandView helps insurers improve the workflows, data, and decisions that connect critical systems. We work across P&C, Life & Annuity, and Health Insurance—modernizing around established IBM technology without making full platform replacement the starting point.

Isometric insurance core connected with claims, documents, business rules, expert review, planning and risk workflows
Three operating realities
Property & Casualty Life & Annuity Health Insurance
IBM ecosystem expertise

Business context, architecture, and delivery in one team

GrandView connects the business question to the systems and delivery work required to answer it. Our experience in insurance and other regulated environments helps us recognize where a process problem is really a data, integration, decision, or ownership problem.

20 years average consulting experience across our team

Principal-led delivery

Senior specialists stay involved from diagnosis through implementation.

One accountable partner

Process, data, integration, analytics, and platform expertise stay connected.

A faster path to evidence

Reusable patterns and proprietary tools expose dependencies before implementation.

Enterprise technology, applied to the way insurers work

Select a partnership to see how it supports modernization around established systems.

IBM Gold Business Partner

Improve the work around an existing IBM estate

We connect IBM platforms, data, automation, analytics, and governance capabilities to a defined insurance workflow—not to a technology-first transformation program.

Planning AnalyticsCognosIBM ZAutomation

The operational problems insurers cannot solve in one system

Insurance work crosses teams, documents, models, and platforms. A transaction can begin in the core, leave it for evidence and review, and return only after a consequential decision is made.

Core record

The core is valuable. It does not need to carry every workflow

Policy, claims, billing, member, actuarial, and financial systems hold years of product logic. Replacing them can create disruption and a multiyear wait for improvement.

Evidence

Important work continues outside the application

Non-standard cases move through email, spreadsheets, shared drives, and manual follow-up when the main platform records the transaction but not every step around it.

Context

A decision waits while people assemble its context

Policy terms, claim notes, correspondence, assumptions, eligibility, provider records, and financial results may all live in different places.

Exception

The cases that matter most are often hardest to surface

Risk concentrates in changing severity, additional reviews, incomplete evidence, appeals, and approvals above an authority threshold.

Business impact

The first part of every decision becomes reconciliation

Finance, actuarial, operations, risk, and technology may use different definitions or refresh cycles before they can agree which result is current.

Control

Faster automation still has to produce defensible decisions

AI can prepare a case for review, but only when data lineage, model behavior, approvals, and human overrides remain visible.

One industry.Three operating realities.

The underlying constraint may be shared. Its business impact depends on the insurance segment.

Operating challenge Property & CasualtyInitial specialization · complex claims Life & AnnuityLong-duration obligations Health InsurancePayer operations
Complex case work Claims move between adjusters, supervisors, legal, SIU, medical reviewers, vendors, and authority owners. Applications, underwriting referrals, policy changes, beneficiary requests, and servicing reviews cross business and actuarial teams. Claims, authorizations, denials, and appeals cross payer, provider, clinical-review, and service teams.
Business measures Severity, reserves, loss adjustment expense, leakage, and combined ratio. Product margin, new-business value, capital, persistency, and long-duration assumptions. Medical cost, utilization, administrative expense, payment accuracy, and service levels.
Decision data Claim, policy, reserve, loss, document, and litigation context. Product, policy, actuarial, finance, and distribution views across models and reporting cycles. Member, provider, encounter, authorization, and payment data for operational and regulatory use.
Customer and partner experience Policyholders, claimants, agents, repair networks, counsel, and other partners need coordinated status. Policyholders, beneficiaries, agents, and distributors need clear progress across new business and servicing. Members and providers need transparent requirements, denial reasons, and reliable status.
Modernization priority Improve complex-claims coordination while keeping the claims platform authoritative. Connect planning, new business, servicing, and policy information across established systems. Improve payer workflows, interoperability, and traceability across a high-volume ecosystem.

Better insurance workflows require a shared view

A workflow can cross several executive mandates. The operating improvement has to make sense to the people responsible for service, financial performance, architecture, data, and regulatory control.

Claims & Operations

Where does work wait, return, or lose a clear owner?

Flow · ownership · exceptions

CFO & Actuarial

Can we explain performance and assumptions using numbers the organization trusts?

Measures · assumptions · scenarios

An insurance case and decision connected to workflow, financial models, enterprise data systems, and risk controls
Shared insurance decisionOne case · one operating context
CIO & Data

Can we improve the workflow without weakening reliable systems?

Architecture · integration · technical debt

Risk & Compliance

Can we reconstruct the evidence and rationale behind the decision?

Evidence · controls · traceability

Start with the business problem. Improve only what solves it.

We diagnose before we prescribe. The engagement begins with the business outcome and the way work happens today, not with a predetermined platform.

01

Define the outcome

Choose one consequential process or decision and agree how improvement will be measured: case age, wait time, handoffs, rework, missing information, manual effort, errors, or time to a trusted view.

Output · agreed baseline and decision
02

See the complete workflow

Reconstruct how representative cases actually move, including work outside the official application. Map roles, systems, documents, rules, exceptions, decision rights, and controls.

Output · current-state evidence map
03

Improve a practical scope

Select a bounded flow such as a claims referral, underwriting exception, authorization, appeal, planning model, or management report.

Output · controlled intervention design
04

Prove the operating result

Test the workflow with real roles, data, and exception paths. Measure whether it reduced waiting, rework, manual preparation, or uncertainty without weakening control.

Output · measured pilot evidence
05

Scale from evidence

Use the result to decide what should expand, what should remain unchanged, and where the next investment will create value.

Output · next-step roadmap

Technology that improves how insurance work gets done

GrandView combines the capabilities required by the workflow instead of forcing the entire problem into one product category. The architecture depends on the insurer’s existing estate, process, and controls.

We help insurance teams understand model dependencies, strengthen planning workflows, and modernize IBM Planning Analytics environments without losing the logic the business relies on.

Technology layer
  • IBM Planning Analytics
  • TM1
  • IBM Cognos Analytics
Explore Planning Analytics
Connected planning models feeding a governed analytics environment and management dashboard

Let’s identify where GrandView can make the clearest difference

Bring us one process that keeps slowing down, one decision the organization does not trust, or one system constraint holding back improvement. We will help you determine whether the issue sits in the workflow, data, integration, model, platform, or operating ownership.

Schedule an Insurance Diagnostic
Rusty Pennington, CFO and Partner at GrandView
Rusty Pennington CFO & Partner, GrandView Insurance technology and business advisory
IBM Business Partner IBM ecosystem expertise for insurance workflows, data, analytics, automation, and core modernization