How to accelerate customer processes, reduce the volume of manual exceptions and simultaneously maintain stronger risk, compliance and operational control
Financial and insurance business areas
The operating models and regulatory risks of banking, payments, lending, investment, insurance and other financial services differ, so their digitalisation priorities are analysed separately.
Legacy core systems slow product and process changes
Developing new products, partner integrations and customer journey improvements takes time, whilst the cost of change continues to rise.
Biggest opportunity
Unified decision and risk platform
Connect customer channels, products, transactions, documents, decisions, compliance checks, fraud signals and service history so that standard cases proceed quickly whilst exceptions are clearly managed.
Recommended first step
Digitalise one high-volume process, including exceptions
Select a customer onboarding, application, claims or service scenario and connect the standard path, human review, documents, controls and customer notifications.
Sector leadership is determined by the ability to simultaneously increase service speed, reduce manual work and maintain clear, auditable control.
Complete sector analysis
The full digital sector analysis is presented below. A more detailed analysis tailored to the specific operating model is available on the business area pages.
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How this sector operates
The sector includes organisations that safeguard, transfer, lend, invest, insure or otherwise manage client funds and risk. Operating models differ, but all these organisations depend on high transaction volumes, data-driven decisions, strict regulatory oversight and uninterrupted service delivery.
The core product is fundamentally digital
A payment, account, credit, investment or insurance contract exists as a combination of data, rules and commitments.
A very large number of decisions are made every day
Payments, customer actions, risk signals, contract changes, claims notifications and service requests are continuously processed.
Critical decisions must be justified and traceable
Credit, insurance, investment, anti-money laundering and consumer protection decisions must be explainable and auditable.
Trust depends on service continuity
Disruptions, data breaches or incorrect decisions can quickly cause financial losses and reputational damage.
Modern channels often run on legacy systems
Mobile applications, self-service and APIs often depend on legacy core systems and complex integrations.
Data creates value but also increases responsibility
Customer, transaction and behavioural data help improve services, but raise privacy, discrimination and model governance risks.
Market and technology context
Sector changes are shaped by instant payments, more open financial ecosystems, cloud and API architectures, AI expansion, increasingly sophisticated fraud and stricter operational resilience requirements. Organisations are moving from individual automation projects to consistent management of data, models, third parties and technology risk.
Digital Operational Resilience Act (DORA)Financial organisations must consistently manage ICT risk, incidents, resilience testing, critical suppliers and service recovery.
Increasing fraud and social engineeringInstant payments, synthetic media and identity forgery increase the need to connect more risk signals in real time.
AI expansion in regulated decisionsAI is used in credit, fraud, claims, servicing and analytics areas, whilst requirements for explainability, fairness and model control are increasing.
Clients expect fast and consistent digital servicesClients want rapid onboarding, instant transactions, clear status and the ability to complete the entire process in their chosen channel.
Open and embedded financial servicesApplication programming interfaces (API) and partnerships enable financial services to be embedded into retail, transport, property and business management products.
New risk dataAsset, geographical, climate and behavioural data are increasingly important for insurance, lending and investment decisions.
Digital maturity model
0
Processes rely on manual actions and separate systems
Client data, decisions, controls and documents are managed in different systems, email and spreadsheets.
1
Core operational systems are functioning
Basic transaction processing is digital, but client processes and controls have many manual exceptions.
2
Digital channels operate on legacy architecture
Clients use apps and self-service, but more complex processes break down or require manual data transfer.
3
Key client processes are connected
Core client journeys, data, decisions and exceptions are managed through a common integration and process layer.
4
Data-driven and controlled decisions Typical current situation
In key processes, client, transaction, risk and servicing data are used together, and models and controls are regularly monitored. Coverage is not yet consistent across all products and exception processes.
5
Adaptive and resilient financial services platform Siektina
Processes, products and models are continuously improved based on outcomes, whilst risk, control, suppliers and operational resilience are managed as one system.
Key finding
The finance and insurance sector is already one of the most digitalised, so the next wave of value will not come from just another app or self-service feature. The greatest benefit lies in deeper integration of data, decision-making and control processes.
When customer, product, transaction, document, risk and service data remain in different systems, the standard process appears digital, but more complex exceptions still move to email, spreadsheets and manual coordination.
It is worth first selecting one high-volume process, organising its data, states, responsibilities and integrations, and only then extending AI or more advanced risk models.
Related topics
Digital client onboarding and KYCFinancial client self-service portalCredit decision automationInsurance claims administration systemFraud prevention platformDORA and operational resilience managementAI model governance in financeFinancial systems API integration
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Legacy core systems slow product and process changes
Critical
Product, contract, pricing and operational logic is implemented in legacy, tightly coupled systems where even a minor change requires extensive analysis and testing.
Consequences
Developing new products, partner integrations and customer journey improvements takes time, whilst the cost of change continues to rise.
Customer information is fragmented across products and systems
Critical
Accounts, policies, credits, investments, documents, risk data and service history are stored in different systems.
Consequences
Customers are asked the same questions repeatedly, offers are less accurate, and service and risk decisions are based on incomplete context.
Customer onboarding and KYC processes still involve many manual exceptions
Critical
Identity, document, beneficial owner, risk, sanctions and other verification data is obtained from multiple systems, whilst more complex cases are handled via email or spreadsheets.
Consequences
Customer onboarding time increases, service costs rise and the risk of losing a potential customer grows.
Credit, insurance and other decision processes are fragmented
Critical
Data collection, model output, expert assessment, approvals and documents are managed in different systems.
Consequences
Decisions are slow, their rationale is difficult to trace, and manual exceptions create inconsistent customer experience and control risks.
Fraud signals remain isolated by product or channel
High
Payment, identity, device, behaviour, claims and customer history signals are not always analysed as a single real-time view.
Consequences
Fraud is detected later, false alerts increase, and investigators combine information manually.
Some compliance controls are still performed manually
High
Data for regulatory reports and controls are collected from different systems, and evidence is often prepared by staff only at the time of an audit or inspection.
Consequences
Compliance costs increase, controls are performed late, and audit evidence is difficult to collect.
The digital customer process often breaks down at complex exceptions
High
A customer may initiate an action via self-service or an app, but a more complex case is transferred to a phone call, email or branch without preserving the full context.
Consequences
The process is duplicated, the customer cannot see the status, and the service team must reconstruct the situation from scratch.
Technology vendor and cloud dependencies are not sufficiently visible
High
Information on contracts, critical services, incidents, tests, data location and exit plans is held in different functions.
Consequences
It is difficult to assess concentration risk, readiness for vendor disruption and the real service recovery capabilities.
Insurance claims administration requires a great deal of manual work
Medium
Notifications, documents, photographs, expert opinions, insurance coverage and claims decisions are checked across multiple channels.
Consequences
Claims handling takes longer, costs increase and customer dissatisfaction grows, whilst fraud risk is assessed inconsistently.
Analytical and AI models are managed inconsistently
Medium
Model data, versions, explanations, tests, bias assessments and usage limits are managed according to inconsistent rules across different teams.
Consequences
It is difficult to scale model usage reliably and to prove their quality, correctness and compliance.
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Digitalisation of one high-volume customer processVery high impactSelect one customer onboarding, application, claims or service scenario and integrate data collection, decision-making, documents, control, the most common exceptions and customer communication.
Overall direction – compliance control within the process itselfHigh impactBuild controls, evidence, data lineage and reports together with the process, rather than checking only after the fact.
General direction – operational resilience managementVery high impactConnect critical services, systems, suppliers, incidents, tests, recovery scenarios and risk KPIs.
Insurance direction – digital claims and benefits processVery high impactConnect claims notification, document collection, cover verification, assessment, fraud control, decision and payment.
Banking and payments direction – unified fraud controlVery high impactConnect transaction, identity, device, behaviour, sanctions and investigation signals in real time.
General direction – gradual modernisation of core systemsVery high impactSeparate customer, product, pricing and process functions so that new channels and partners do not depend on replacing every legacy system.
Growth direction – more targeted offers based on customer needHigh impactUse customer consent-based data to offer the most appropriate action, cover, price or financial decision.
Long-term direction – unified decision and risk platformVery high impactConnect customer, transaction, product, risk, fraud and compliance data into a single explainable and auditable decision process.
Biggest opportunity
Unified decision and risk platform
Connect customer channels, products, transactions, documents, decisions, compliance checks, fraud signals and service history so that standard cases proceed quickly whilst exceptions are clearly managed.
Shorter customer onboarding, application and claims processing time
Lower operations and customer service costs
More accurate risk assessment and pricing
Lower fraud, credit and insurance losses
Higher proportion of fully digital processes
Faster onboarding of new products and partners
Stronger operational and cyber resilience
Expected impact on operations and financial performance
Higher customer conversion and retentionShorter onboarding, clear process status and consistent self-service reduce process abandonment and increase loyalty.
Lower operational costsAutomated management of documents, decisions, cases and exceptions reduces manual work and repeat customer contacts.
Lower risk and fraud lossesCombined transaction, identity, behaviour and risk signals enable faster detection of loss causes.
Faster product developmentModular product, pricing, rules and API services enable faster creation and modification of offerings.
More accurate pricing and capital utilisationBetter risk assessment helps to set more accurate pricing, limits, insurance coverage and capital requirements.
More reliable complianceIntegrated controls, data lineage and audit history reduce compliance risk in reporting, models and processes.
Greater operational resilienceClear technology dependencies, incident and recovery controls reduce the impact of critical service disruptions.
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Problema
Customer information is fragmented across products and systems
Customers are asked the same questions repeatedly, offers are less accurate, and service and risk decisions are based on incomplete context.
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Sprendimo kryptis
Customer identity, consent and unified profile platform
Integrates customer, entity, beneficiary, identity, document, consent, product, risk and service information for all channels.
Problema
Customer onboarding and KYC processes retain many manual exceptions
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Sprendimo kryptis
Customer identity, consent and unified profile platform
Integrates customer, entity, beneficiary, identity, document, consent, product, risk and service information for all channels.
Problema
Digital customer processes often break down at complex exceptions
→
Sprendimo kryptis
Customer identity, consent and unified profile platform
Integrates customer, entity, beneficiary, identity, document, consent, product, risk and service information for all channels.
Problema
Credit, insurance and other decision processes are fragmented
Decisions are slow, their rationale is difficult to trace, and manual exceptions create inconsistent customer experience and control risks.
→
Sprendimo kryptis
Digital process and decision management platform
Manages application, credit, policy, claims and other process data, rules, model outputs, human review, approvals and exceptions.
Problema
Customer onboarding and KYC process retains many manual exceptions
→
Sprendimo kryptis
Digital process and decision management platform
Manages application, credit, policy, claims and other process data, rules, model outputs, human review, approvals and exceptions.
Problema
Insurance claims administration requires substantial manual work
→
Sprendimo kryptis
Digital process and decision management platform
Manages application, credit, policy, claims and other process data, rules, model outputs, human review, approvals and exceptions.
Recommended digital solutions
Solutions must be implemented sequentially: first, customer, product and transaction data are standardised, then the entire process is digitalised with exceptions, and AI is used only with clear model, control and human accountability rules.
Customer identity, consent and unified profile platform
Integrates customer, entity, beneficiary, identity, document, consent, product, risk and service information for all channels.
Digital process and decision management platform
Manages application, credit, policy, claims and other process data, rules, model outputs, human review, approvals and exceptions.
Fraud and financial crime control platform
Connects transaction, identity, device, sanctions, behaviour, case and investigation data in real time and prioritises alerts by risk.
Insurance claims administration platform
Connects claim notification, document and image collection, protection verification, expert tasks, fraud control, decision and payout.
Data, events and API integration platform
Creates a managed real-time data and services layer between core systems, channels, partners, risk and compliance solutions.
AI and analytical model management system
Manages model registry, data lineage, versions, validation, explainability, customer group impact tests, performance monitoring and usage approvals.
Digital compliance and control platform
Manages control rules, evidence, obligations, reports, changes and audit history directly within core processes.
Operational resilience and technology supplier risk platform
Connects critical services, systems, suppliers, dependencies, incidents, tests, recovery and exit plans in line with DORA principles.
Investment priorities
Digitalise one high-volume process, including exceptionsSelect a customer onboarding, application, claims or service scenario and connect the standard path, human review, documents, controls and customer notifications.
Standardise customer, product and transaction dataDefine common identifiers, data lineage, consents and trusted exchange between channels and core systems.
Embed risk, fraud and compliance controls into the processUse common signals, case management, model oversight and automatically collected audit evidence.
Strengthen operational resilience and third-party oversightLink critical services, systems, suppliers, incidents, tests, recovery and exit scenarios.
Gradually modernise core systems and expand AIDecommission legacy system functions in stages, and expand AI only with a model registry, validation, explainability and clear human accountability.
Key implementation conditions
Design the process together with risk and compliance
Controls, explanations, audit evidence and human review must be part of the process from the first version.
Do not start by replacing the entire core system
It is usually safer to first build a process and integration layer, and separate legacy system functions in stages.
The origin of each data point used in the solution must be clear
It must be known where the data came from, when it was updated, what its quality status is and on what basis it may be used.
Digitalise the standard path, exceptions and disruption scenarios
Manual work usually remains in complex exceptions, so clear human review, service continuity, data recovery and safe fallback processes are required.
AI models and technology suppliers must be managed as critical dependencies
Model versions, explanations, monitoring, supplier incidents, concentration risk and exit plans must be managed alongside internal systems.
Recommended implementation sequence
01
Single critical client process analysis
Select a high-volume process and identify its data, systems, manual exceptions, control points and business impact.
Client process and exceptions map
Systems and integrations map
Risk and control points
Initial KPIs and data quality assessment
02
Data, identity and integrations foundation
Establish unified client, product and transaction identification and reliable data exchange between channels and core systems.
Unified client profile
API and event integration layer
Consent and access model
Data lineage and quality control
03
First end-to-end digital process
Digitalise one application, customer onboarding, claims or servicing scenario from start to finish, including manual exceptions.
Client self-service
Process and decision management
Document and identity verification
Status and employee workspace
04
Risk, fraud and compliance integration
Embed real-time risk signals, control evidence and common case management into the core process.
Common risk and fraud signals layer
Case management
Automated controls
Audit and regulatory evidence
05
Modular expansion, core systems modernisation and managed AI
Expand proven architecture to other products, channels and partners, progressively decouple legacy system functions and scale managed AI and risk models only with reliable data.
Modular product and pricing services
Partner APIs
Legacy system function decoupling
Model management and advanced analytics scenarios
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Recommended KPIs
Share of processes completed entirely digitally%
Measure how many customer processes do not get stuck in a manual or other channel.
Customer onboarding durationmin. or d.
Assess the speed of identity, know-your-customer (KYC) and decision processes.
Share of processes requiring manual exception%
Identify gaps in data, rules and processes.
Average claims handling durationd.
Assess the speed of the insurance claims process.
Share of false fraud alerts%
Assess fraud control accuracy, customer friction and investigator workload.
Share of customer actions performed in self-service%
Measure self-service adoption and service shift.
Critical service availability%
Measure technological and operational resilience.
Time to launch new product or significant changewk. or mo.
Assess architecture and process agility.
Key risks
A new channel only hides the old fragmentationA modern interface is created, but behind it remains manual data transfer, separate states and exceptions managed by email.Kaip suvaldyti Design the first version as an entire process with integration of core systems, documents, solutions and exceptions.
An attempt to replace the entire core system with one projectProducts, data, processes and critical infrastructure are changed simultaneously, making timelines and risk difficult to manage.Kaip suvaldyti Separate functions into phases and have a data validation and rollback plan in each phase.
AI or analytical model uses incorrect data or cannot justify the decisionSensitive data may enter an unapproved environment, and the model may affect customer groups unevenly or produce a result that is difficult to explain.Kaip suvaldyti Use approved infrastructure, data classification, independent validation, impact testing on customer groups, explainability and human review.
Fraud exploits automated channelsSynthetic media, identity forgery and social engineering can increase the scale of automated fraud attempts.Kaip suvaldyti Use multi-signal identity and behaviour controls, risk-based authentication and clear alerts to customers and employees.
A critical process becomes dependent on a single supplierCloud, identity, data or AI services may become the single point of operation for a critical process.Kaip suvaldyti Manage concentration risk, test recovery and exit, have alternative processes and clear contractual requirements.
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Advanced solutions can create significant value, but their use must be auditable, explainable, secure and proportionate to the decision risk. Models with significant impact on the customer must have clear human oversight capability.
Already applied in the sector2
Real-time AI assistance for fraud detection
Highly urgent
Models analyse transaction, device, identity, behaviour and relationship data to detect complex anomalies.
How it is applied Used for alerts and investigation priorities, whilst continuously measuring the proportion of false stops and missed cases.
What value can be created
Lower fraud losses
Faster detection of suspicious cases
Fewer false alerts
What is needed for this to work
Real-time data streams
Unified customer and device identifiers
Model monitoring and researcher feedback
Short-term perspectiveCommercial solutions are available
More advanced credit and insurance risk assessment
Highly urgent
Models combine more internal and external data to assess risk, pricing and most suitable terms.
How it is applied Used only when model data, impact on customer groups, explainability and human intervention rules are clearly managed.
What value can be created
More accurate risk differentiation
Faster decisions
Better price-to-risk ratio
What is needed for this to work
Reliable and lawfully used data
Model validation and explainability
Fairness and discrimination control
Medium-termApplied in practice
Market expansion2
AI assistants for employees and clients
Highly urgent
AI helps search procedures, draft responses, summarise cases and explain complex financial information more clearly.
How it is applied Initial scenarios must rely on validated sources, show documents used and not make final credit, insurance or investment decisions.
What value can be created
Shorter service time
Faster document and case analysis
More consistent employee responses
What is needed for this to work
Managed knowledge source set
Access and confidentiality control
Response auditing and quality tests
Short-term perspectiveCommercial solutions are available
Open and embedded financial services
Relevant
Payments, financing, insurance or account information via secure APIs are integrated into other companies' customer processes.
How it is applied Relevant to commerce, transport, property and business management platforms where partners, consents and liabilities are clearly managed.
What value can be created
New distribution channels
Lower customer acquisition friction
Greater partner ecosystem scale
What is needed for this to work
API management and identity infrastructure
Partner risk and consent control
Real-time product and solution services
Medium-termApplied in practice
Early stage2
Continuous control and compliance monitoring
Relevant
Controls, data quality, model usage and process deviations are monitored continuously, rather than only during periodic audits.
How it is applied The system automatically collects evidence, alerts about non-functioning controls and helps identify which cases require human review first.
What value can be created
Earlier breach detection
Reduced audit evidence collection effort
Greater control reliability
What is needed for this to work
Digital control and process logs
Data lineage information
Clear control owner
Medium-termApplied in practice
Sensitive data analysis without disclosure beyond necessity
Moderately urgent
Federated learning, synthetic data and other technologies enable the creation and testing of models whilst reducing the disclosure of original customer data.
How it is applied Relevant for cross-organisational fraud analysis and model development where direct data linking is restricted.
What value can be created
Safer data collaboration
More data for model development and testing
Lower privacy risk
What is needed for this to work
Clear legal and governance model
Technical privacy threat analysis
Model quality and leakage testing
Long-term perspectiveResearch results
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Where to start with finance or insurance digitalisation?
Select one high-volume process with many manual exceptions or client drop-offs. Analyse the entire journey from data collection to decision, approval, documentation, control and client notification.
Is it necessary to replace the core banking, policy or claims system immediately?
Most often not. It is safer to first create an integration and process layer that connects existing systems, replacing their functions in stages. Each stage must have a data validation and rollback plan.
What should the first project version be?
The first version should cover one complete scenario, such as client onboarding, credit application or a standard claim. It must handle not only the standard path, but also the most common manual exceptions, documents and human review.
How to assess project return on investment?
It is necessary to measure process duration, proportion of manual exceptions, employee time, client drop-offs, fraud or claims losses, self-service usage and product launch speed. User count or number of automated steps alone does not show real benefit.
When is it worthwhile to use AI in finance and insurance?
AI helps detect fraud, analyse documents, facilitate customer service, assess credit and insurance risk, and determine which cases to process first. Decisions with major client impact must be explainable, verifiable and, if necessary, reviewed by a human.
How to prepare practically for DORA requirements?
It is necessary to link critical services to the systems and suppliers that support them, manage incidents, tests, recovery plans and exit scenarios. A collection of documents alone is not sufficient – it is essential to be able to prove that recovery and resilience processes actually work.
Next step
Let us assess where client processes are still performed manually
We will review how clients move through the process, which systems support decisions, where risk and compliance controls intervene, and help select the first step whose benefit can be clearly measured.