Designing Claim Systems in Health Insurance Companies with Microservices and Event-Driven Architecture Approach


  • Steve Sentosa Universitas Pradita, Serpong, Indonesia
  • Amelia Makmur Universitas Pradita, Serpong, Indonesia
  • Handri Santoso Universitas Pradita, Serpong, Indonesia




Event-Driven, Health Insurance, Insurance Claim, Insurance Company, Microservices


Through digital transformation, insurance companies, especially in the health sector, are increasingly adopting modern technologies to enhance efficiency and service quality. Health insurance allows individuals or families to mitigate the financial risks associated with high and unexpected medical expenses. One crucial area is insurance claim, where a fast and accurate process is key to customer satisfaction. This study proposes the design and architecture of an insurance claim system using a microservices and event-driven approach. This approach enables insurance companies to break down applications into separate components, facilitating scalability, flexibility, and easier maintenance. Additionally, with an event-driven approach, the system can quickly respond to changes and events in the business environment. A comprehensive analysis shows that implementing microservices and event-driven architecture in the insurance claim system can enhance overall system performance, scalability, and resilience. For insurance companies, adopting microservices and event-driven architecture can lead to increased operational efficiency, reduced time to market for new products, and improved customer experiences through faster claim processing. Policyholders will benefit from quicker claim resolutions and a more transparent and responsive claim process. This study provides valuable insights for health insurance companies looking to upgrade their IT infrastructure to meet future challenges. The findings from this research will be documented to support the development of insurance business technology, specifically for health insurance claims in Indonesia.

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Al-Debagi, O., Peter, M. 2018. A Comparative Review of Microservices and Monolitic Architecture. 2018 IEEE 18th International Symposium on Computal Intelligence and Informatics (CINTI), Budapest, Hungary.

Aldya, A. P., Rahmatulloh, A., Arifin, M. N. 2019. Stateless Authentication with JSON Web Tokens using RSA-512 Algorithm. Jurnal Infotel, Vol. 11, No. 2, pp. 36-42, Jun. 2019.

Anwar, K., Hakim, L., Adinugraha, H. H., Ma’shum, AM M. H. 2023. Implementation of Information Technology at Sharia Insurance Institutions BSI Pekalongan. Journal of Islamic Management Studies, Vol. 6, No. 1 (2023). Obtained from:

Asrori, Safitri, W. N. 2023. The Procedure for Submitting a Health Insurance Claim for Health Fund Solution Products at PT. XYZ. Atlantis Press, Proceedings of the 6th International Conference on Vocational Education Applied Science and Technology (ICVEAST 2023), Page 7-12.

Astralife (PT. Asuransi Jiwa Astra). 2021. Insurance 101. Obtained from:

AWS (Amazon Web Service). 2023. What is Containerization?. Obtained from: Accessed on date: 7 May 2024.

Borstnar, M. K., Pucihar, A. 2021. Multi-Attribute Assesment of Digital Maturity of SMEs. MDPI, Electronics 2021, No 10, Page 885.

Basoni, F., Shalahudin, M. I. 2023. Perancangan Aplikasi Klaim Produk Asuransi Instividual PT. Asuransi Jiwa Inhealth Indonesia (MANDIRI INHEALTH). Obtained from:

Chamari, L. Petrova, E., Pauwels, P. 2023. An End-to-End Implementation of a Service-Oriented Architecture for Data-Driven Smart Buildings. IEEE Access. PP. 1-1.

Deloitte. 2023. Realising the Potential of Indonesia’s Insurance Sector. Obtained from:

Elgherianti, N. S., Ahmed, N. A. S. 2022. Microservices vs Monolithic Architectures: The Differential Structure Between Two Architectures. Minar Journal, Vol. 4 No. 3, Page 500-514.

Eling, M., Nuessle, D., Staubli, J. 2022. The Impact of Artificial Intelligence Along the Insurance Value Chain and on the Insurability of Risks. Springer: Geneva Papers on Risk and Insurance: Issues and Practices, Volume 47, Pages 205–241 (2022).

Fujitsu. 2021. White Paper: How Artificial Intelligence is Making Insurance Work Better for Everyone.

Golightly, L., Chang, V., Xu, Q. A., Gao, X., Liu, B. SC. 2022. Adoption of Cloud Computing as Innovation in the Organization. Sage Journal, International Journal of Engineering Business Management (2022), Vol.14.

Hikmah, Y., Asrori. 2020. Analysis of Health Insurance Claim Decisions in Indonesia. Atlantis Press: 3rd International Conference on Vocational Higher Education (ICVHE 2018), Advances in Social Science, Education and Humanities Research, Vol. 426.

Hoang, T., Kylmaniemi, I. 2024. Restructuring an Enterprise Monolith into a Microservices Architecture (Thesis). Metropolia University of Applied Science, Finland.

Huye, D., Shkuro, Y., Simbasivan, R. R. 2023. Lifting the Veil on Meta’s Microservice Architecture: Analyses of Topology and Request Workflows. USENIX Annual Technical Conference. Obtained from:

Jayarana, I G. N. A., Aryanto, K. Y. E., Sunarya, I M. G. 2023. Development of Service-Oriented Architecure-Based Microservices Management as a Data Integration Service (Case Study: Udayana University). Jurnal Ilmiah Merpati (Menara Penelitian Akademika Teknologi Informasi).

Korotenko, A. 2023. Microservices Architecture: Practical Implementations, Benefits, and Nuaces (Thesis). Savonia University of Applied Sciences, Finland.

Lazzari, L., Farias, K. 2023. Uncovering the Hidden Potential of Event-driven Architecture: A Research Agenda. Cornell University: arXiv, United States. Research Gate:

Lilavati, D. A. 2019. Prosedur Klaim Asuransi Produk Prulink Investor Account ("PIA") Pada PT. Prudential Life Assurance Surabaya. Sekolah Tinggi Ilmu Ekonomi Perbanas, Surabaya. Obtained from:

Li, Z., Liu, G., Huang, B., Liang, Z., Qin, M., Zhou, H. 2020. Microservices: Architecture, Container, and Challenges. 2020 IEEE 20th International Conference on Software Quality, Reliability and Security Companion (QRS-C), Macau, China, 2020, pp. 629-635.

Nurzaman, F. 2021. Sistem Notifikasi Otomatis Tracking Klaim Reimbursement Melalui Whatsapp Dalam mendukung Peningkatan Layanan Pelanggan Pada Perusahaan Asuransi Kesehatan PT. XYZ. Journal Ikrahith-Informatika, Universitas Persada Indonesia Y.A.I, Vol. 5 No. 2 (2021): IKRAITH-INFORMATIKA Vol 5 No. 2, July 2021. Obtained from:

OJK (Otoritas Jasa Keuangan). 2019. Asuransi Kesehatan: Kajian Perlindungan Konsumen di Sektor Jasa Keuangan. Obtained from:

Pikkumaki, T. 2023. Comparison of Monolithic, Micro-service, and Cloud Development (Thesis). JAMK University of Applied Science, Finland. Obtained from:

Prasanth, A., Vadakkan, D. J., Surendran, P., Thomas, B. 2023. Role of Artificial Intelligence and Business Decision Making. The Science and Information Organization, International Journal of Advanced Computer Science and Applications (IJACSA), Vol. 14 Issue 6, 2023. Obtained from:

Rachman, F. 2023. Perancangan Sistem Informasi Kliam Asuransi Kendaraan Pada PT. Bina Dana Sejahtera Berbasis Java. Semnas Ristek (Seminar Nasional Riset dan Inovasi Teknologi) 7(1).

Rahmatulloh, A., Nugraha, F., Gunawan, R., Darmawan, I. 2022. Event-Driven Architecture to Improve Performance and Scalability in Microservices-Based Systems. 2022, IEEE International Conference Advancement in Data Science, E-learning and Information Systems (ICADEIS), Bandung, Indonesia, 2022, pp. 01-06.

Rizki, Muhammad., Fajar, Ahmad Nurul., Retnowardhani, Astari. 2020. Microservices Architecture Design: Proposed for online HealthCare. Warse: International Journal of Emerging Trends in Engineering Research, Vol. 8, No. 4, April 2020.

Rushani, L., Festim H. (2022). Differences Between Service-Oriented Architecture and Microservices Architecture. International Journal of Natural Sciences: Current and Future Research Trends, 13(1), 30–48. Retrieved from:

Siburian, Nelsi Agustina. 2022. Analisis Pengajuan Klaim Produk Jasa Asuransi di PT. Prudential Syariah Cabang Binjai. Jurnal Ekonomi Manajemen Akuntansi Dan Keuangan, 3(3).

Sundstrom, L., Lundell, L., Collin, J. 2023. Enterprise Architecture from Conception to Implementation. Aalto University School of Science, Finland. Obtained from:

UMN (Universitas Multimedia Nusantara). 2023. 5 Kelebihan dan Kekurangan Artificial Intelligence: Membantu dan Mengancam?. Obtained from: Accessed on date: 5 May 2024.

WSO2. 2016. Event-Driven Architecture the Path to Increase Agility and High Expandability. Obtained from:

Zuki, S. Z. M., Mohamad, R., Saadon, N. A. 2024. Containerized Event-driven Architecture. Baghdad Science Journal, Vol. 21, 0584. Research gate:


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How to Cite

Sentosa, S., Makmur, A. ., & Santoso, H. . (2024). Designing Claim Systems in Health Insurance Companies with Microservices and Event-Driven Architecture Approach. Sinkron : Jurnal Dan Penelitian Teknik Informatika, 8(3), 1384-1399.

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