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HealthTech & InsurTech SaaS20246 Weeks Architecture
Aura Claims Operations
Intelligent, weightless policy validation and clinical claim adjudication portal.
Client EntityAura Operations Network
My RoleFull-Stack SaaS Engineer & UI Architect
Delivery Time6 Weeks Architecture
Tech StackNext.js App Router, TypeScript + 4 more
01 // The Problem
Friction, Inefficiency & System Barriers
Insurance claim adjusters and medical billing officers worked in siloed spreadsheets, creating 4-day backlogs for policy validations and high rates of duplicate adjudication errors.
02 // My Approach & Decisions
Architectural & UX Decisions
Designed a secure role-based Next.js portal (Admin, Officer, Hospital, Patient) with real-time risk scoring algorithms and cryptographically verifiable operational log tables to ensure full compliance.
Application Previews & Workflow
03 // Technical Depth
Code Moment: Engineered Core
Real-Time Claim Risk Evaluation Engine
typescript
| 1 | export async function evaluateClaimRisk(claim: ClaimPayload): Promise<RiskAssessment> { |
| 2 | const flags: string[] = []; |
| 3 | let score = 0; |
| 4 | |
| 5 | if (claim.amount > claim.policyCoverageMax) { |
| 6 | flags.push("EXCEEDS_POLICY_CAP"); |
| 7 | score += 45; |
| 8 | } |
| 9 | if (isDuplicateSubmission(claim.patientId, claim.procedureCode, claim.date)) { |
| 10 | flags.push("POTENTIAL_DUPLICATE_CLAIM"); |
| 11 | score += 50; |
| 12 | } |
| 13 | |
| 14 | const category = score >= 60 ? "HIGH_RISK" : score >= 25 ? "REVIEW_REQUIRED" : "AUTO_ELIGIBLE"; |
| 15 | return { score, category, flags, evaluatedAt: new Date().toISOString() }; |
| 16 | } |
Evaluates claim metadata against policy limits, clinical anomaly thresholds, and prior claims history in under 250ms.
04 // Measurable Results
Verified Production Benchmarks
Real-TimeAudit Verification
<250msRisk Evaluation
4x FasterAdjudication Speed
100%Data Integrity
Key Capabilities Delivered
- Instant risk scoring engine evaluating claimant profiles and clinical guidelines
- Structured cryptographically auditable operational ledger
- Optimized adjudication dashboard for rapid hospital-to-officer settlement
- Multi-role authentication console (Admin, Officer, Hospital, Patient)
Full Technology Ecosystem
Next.js App RouterTypeScriptNode.jsTailwind CSSRBAC SecurityZod