Integrating core claims systems and Moxo: patterns for system and human orchestration
At a glance
Modern insurers need systems that communicate effortlessly across claims, policy, and customer touchpoints.
By integrating the core claims system with Moxo’s orchestration, teams bridge automation with human oversight.
Through event triggers, API polling, and secure file drops, insurers can sync data, trigger tasks, and maintain full visibility.
With Moxo, every integration becomes an opportunity to streamline work, enhance compliance, and accelerate claim resolution.
Core claims system with Moxo: merging data integrity with workflow flexibility
Core claims systems like Guidewire or Duck Creek are built for recordkeeping, calculations, and data integrity. They store policy and claims data, handle reserves, and ensure accuracy across transactions.
What they often lack is a collaboration and orchestration layer that connects human steps, external partners, and real-time notifications.
That is where Moxo complements the core. It does not replace it. Instead, it adds the flexibility to coordinate people, systems, and actions around that core system.
Together, the two platforms deliver what insurers need most: reliable data integrity and dynamic workflow orchestration.
Technical guide: 3 key integration patterns that connect claims core systems with Moxo
Integration between a core claims system and Moxo can be achieved in multiple ways. Each pattern balances speed, flexibility, and IT effort differently.
Pattern 1: event-driven triggers for real-time workflow initiation
When a defined event occurs in your claims core, such as claim creation, assignment, or approval, a webhook can trigger Moxo to launch or update a corresponding workflow.
These triggers ensure real-time synchronization between systems.
Example:
A national insurer integrated Guidewire events with Moxo’s workflow engine to automate policyholder follow-ups.
Each time a claim was created, Moxo generated a secure Magic Link for the customer to upload supporting photos.
This setup, featured in Moxo’s customer stories, reduced manual intake time by 45% and eliminated lost documentation.
Advantages:
- Instant workflow initiation
- Eliminates manual intervention
- Ideal for time-sensitive claims or catastrophe scenarios
Consideration: Requires webhook configuration and consistent payload mapping.
Pattern 2: API polling and synchronization for bi-directional data flow
APIs create two-way communication between systems. Moxo uses its integrations to either poll the core system for changes or respond to API calls directly.
Example:
A health insurer integrated Moxo APIs with its CRM to sync claim status updates every 15 minutes.
When a claim changed to “Under Review,” Moxo launched a validation flow, alerting the right reviewers.
The project, highlighted in Moxo’s customer library, improved operational visibility by 60% and reduced duplicate status checks.
Advantages:
- Reliable for both legacy and modern cores
- Enables bi-directional updates
- Supports configurable sync frequency
Consideration: Ensure API rate limits, security tokens, and SOC 2 encryption policies are respected.
Pattern 3: file drop and batch integrations for legacy core systems
For legacy systems that do not support APIs, Moxo provides secure file-based integrations using SFTP or cloud storage triggers.
When a claim file (CSV, XML, or JSON) is dropped in a monitored folder, Moxo automatically initiates or updates the related workflow.
Example:
An insurer used nightly batch uploads to update payment data from its mainframe system.
Moxo processed the file, triggered settlement flows, and alerted finance teams, saving four hours of daily manual updates.
Advantages:
- Easy to implement with existing infrastructure
- Maintains audit traceability through timestamps
- Requires no middleware
Consideration: Slightly higher latency compared to API integrations.
Human-in-the-loop orchestration
Automation accelerates claims, but human oversight ensures accuracy. Moxo bridges both through Flow Builder, bringing decision steps into the same sequence as system events.
Example:
When an AI model flags an anomaly in claim value, Moxo routes the workflow to a supervisor for human validation.
The entire review is documented and auditable, aligning with DOI and SOC 2 standards.
One property insurer achieved a 38% reduction in rework while improving compliance accuracy.
This human-in-the-loop orchestration ensures every approval is logged, compliant, and actionable in real time.
Integration architecture and pitfalls to avoid
Common integration architectures
Pitfalls to avoid
- Uncoordinated triggers can create duplicate workflows.
- Poor data mapping leads to errors during sync.
- Over-automation without human checkpoints causes compliance gaps.
- Missing security layers risks data exposure, violating SOC 2 or HIPAA rules.
- No centralized reporting leads to siloed insights.
By leveraging Moxo’s built-in audit logging, insurers avoid these pitfalls and maintain complete control over data flow.
Building the integrated workflow in Moxo
Flow builder (intake forms, file requests, approvals, esign)
Start by modeling claim processes in Moxo Flow Builder.
Include FNOL submission, evidence requests, and approvals. Every document and signature is timestamped for compliance review.
Controls (branches, thresholds, SLAs, milestones)
Set routing logic, thresholds, and SLAs. For example, high-value claims can automatically route to a senior adjuster, while milestone tracking ensures deadlines are met and recorded.
Automations & integrations (policy / claims core, CRM, DMS, payments, eSign / ID)
Connect your policy admin, CRM, or DMS system via Moxo’s integrations.
When the claim status changes in the core system, Moxo triggers follow-up tasks or notifications in real time.
Magic Links for externals (policyholders, providers, repair vendors, brokers)
With Magic Links, external users can securely upload files or confirm tasks without logging in. Each action updates the claim status automatically within the core system.
Management reporting (cycle time, STP %, severity, leakage, re-open rate)
Moxo’s analytics consolidate claim metrics from workflows and the core system.
Teams can view real-time performance across lines of business, regions, or adjusters, providing data-backed improvement opportunities.
Governance (SSO/SAML, RBAC, HIPAA/PHI handling, audit trails & export)
Compliance remains central. Moxo offers SOC 2 and GDPR alignment, SSO/SAML authentication, and audit-ready exports.
All actions are logged and exportable for internal or DOI audits.
Real-world proof: case study on Moxo + core system integration
A national insurer integrated Moxo with its Guidewire core system.
Whenever a new claim was created, a webhook triggered Moxo to launch document collection and approval flows.
Results:
- Claim cycle time improved by 48%
- Manual data entry reduced by 60%
- Full audit logs exported automatically for compliance reviews
The integration united system precision with workflow flexibility, allowing teams to focus on high-value cases.
How Moxo connects people, documents, and data around your core system
Moxo complements, not replaces, your core claims system by connecting people, documents, and decisions around it.
Using integrations, Moxo syncs data with policy admin and CRM tools, ensuring real-time visibility across systems. Workflow automation routes approvals, reminders, and disbursements without manual intervention.
Dashboards surface bottlenecks and SLA trends, while audit trails provide regulator-ready evidence. Moxo bridges system data and human steps, making your claims stack faster and more compliant.
Connected systems, continuous orchestration
Integrating claims platforms is not just about linking APIs, it is about creating harmony between people, processes, and systems.
When insurers connect their core data with orchestration layers that manage approvals, documents, and communication, they gain visibility and accountability across every claim. The real success of integration lies in transparency and traceability, not just speed.
Integration success is not about connecting software; it is about synchronizing people, processes, and data.
Moxo acts as the orchestration layer that keeps your claims core, automation systems, and human oversight aligned. With event triggers, APIs, and secure collaboration tools, insurers can move from fragmented claims handling to connected, compliant orchestration.
Ready to see how Moxo connects with your core claims system? Schedule a demo to explore integration patterns that deliver measurable impact.
FAQs
What is claimed system integration?
Claims system integration connects your claims core to external systems and workflows. Moxo enhances this connection by orchestrating automation and collaboration around it.
How does Moxo integrate with core systems like Guidewire or Duck Creek?
Through event-driven APIs, file drops, or middleware connections. The Moxo Integrations Framework supports REST, webhooks, and secure SFTP methods.
Can Moxo support legacy systems?
Yes. Moxo can trigger workflows from encrypted file drops or CSV uploads, ensuring legacy systems stay connected without modernization costs.
How does Moxo ensure data security?
Through SOC 2 and GDPR-certified security, SSO/MFA authentication, and full encryption in transit and at rest.
What ROI can insurers expect?
According to Moxo case studies, insurers have achieved up to 50% faster processing, reduced manual rework, and improved compliance visibility through core integrations.
