BCO1049 Business Process Modeling: Insurance Claims Analysis

This report provides a detailed analysis of business process and modeling within the context of an insurance claims process. It includes a BPMN diagram illustrating the claims process, identifies problems within the current system, and proposes solutions with corresponding benefits. The report also discusses business re-engineering, comparing constrained and clean-slate approaches, and highlights areas like marketing and production for potential re-engineering efforts. The document emphasizes the importance of adapting to modern demands through innovation, responsiveness, quality, and service, and suggests improvements to reduce financial loss, improve customer satisfaction, and streamline operations. Desklib is a platform where students can find similar documents and study tools.

Running head: BUSINESS PROCESS AND MODELING
Business Process and Modeling
Name of the Student:
Name of the University:
Author Note

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BUSINESS PROCESS AND MODELING
Question 1
Answer to question number (a)
Figure: BPMN Diagram
Source: (created by Author)
Answer to question number (b)
The four problems for the
Problem Solution Benefit
1 False Claims entertained by
the company (Christensen and
Laegrid 2015).
The company should try and
implement a strict process for the
claim evaluation department of
the company.
This would help the company in
eliminating the unnecessary
financial loss incurred for the
company.

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BUSINESS PROCESS AND MODELING
2 Delivering the claims and the
invoices discretely
When any order or claim is
received then the notification for
generating the invoice should
also be sent with it.
This help in reducing the work
process and make the process
faster.
3 The processes in the company
are being operated manually.
Incorporation of mobility and
online system to the system that
is already existent in the
company (Cohen and Kietzmann
2014)..
The customers would be able to
access the systems of the
company from any location and
at any time. This would make
the work of the customers little
less complicated.
4 Notification process is to be
introduced in the event of
rejection of card from the
customer
In case the card of a customer is
rejected he should notified
immediately.
This would help the customer to
apply for the claim with a
different card.
Question 2
Answer to question number (a)
Business re-engineering process is a strategy used for the management of any type of
business. The process is used by the organization to achieve a radical change within the
organization. In addition to this, the organization is required to set up environment with them
that would assist the company in achievement of a successful re-engineering process. This is
important for the organization in a sense that, the organization has to rethink about the process
that already exist in the company and would have to amend the faulty procedure that exist in the

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BUSINESS PROCESS AND MODELING
system (Stadtler 2015).. This re-engineering process helps company in various departments such
as customer services and operational costs. This can happen by reducing the operation costs of
the company and by improving the satisfaction level of the customer (Braglia and Forsolini
2014). The main areas of the company that would be considered for re-engineering are marketing
and production of the company.
Answer to question number (b)
The re-engineering process can take place in two ways;
Constrained Re-engineering and Clean slate Re-engineering
1. Constrained re-engineering: In constrained re-engineering the process of re-engineering
method is implmeneted by making some modification to the already existing system in
the company. The main advantage of this system is that this system can be implemented
at a much faster rate and with a very moderate financial requirement. The main
disadvantage of the system is that the company would require a lot of change and there
has to be being considerable amount of change in the organizational structure of the
company.
2. Clean-slate re-engineering: The clean-slate re-engineering process enables the
organization to redesign the entire structure of their business from scratch. The main
advantage of this is that they are not required to make any changes for the organizational
structure of the company. The main disadvantage is that the time and finance required for
the implementation is more.

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BUSINESS PROCESS AND MODELING
References
Braglia, M. and Frosolini, M., 2014. An integrated approach to implement project management
information systems within the extended enterprise. International Journal of Project
Management, 32(1), pp.18-29.
Christensen, T. and Lægreid, P., 2015. Performance and accountability—A theoretical discussion
and an empirical assessment. Public Organization Review, 15(2), pp.207-225.
Cohen, B. and Kietzmann, J., 2014. Ride on! Mobility business models for the sharing economy.
Organization & Environment, 27(3), pp.279-296.
Stadtler, H., 2015. Supply chain management: An overview. In Supply chain management and
advanced planning (pp. 3-28). Springer, Berlin, Heidelberg.