Eligibility Management for Government Social Services
Customer:
Large Government Agency managing welfare and public assistance programs
Business Challenge:
- Eligibility rules were fragmented across documents and teams.
- Manual checks caused long delays, inconsistent decisions, and high processing costs.
- Difficult to explain or audit decisions, especially when applicants appealed.
ESI LABS Objective:
Automate eligibility determination for multiple benefit programs while ensuring fairness, transparency, and compliance with complex policies.
Solution Delivered:
Deployment of a centralized Eligibility Decision Engine using BRMS logic.
Codification of thousands of policy rules into a single platform.
Custom configuration of:
Eligibility Assessment Module: Evaluates individual applications in real time against multiple program rules.
Audit & Explanation Layer: Provides full traceability for each eligibility decision.
Duration: 6 months
Phases: Policy Modeling → Rule Encoding → Testing → User Training → Production Launch
Results Achieved:
Achieved intelligent price governance with transparent, explainable logic
83%
60%
40%
Conclusion:
By implementing an automated eligibility management system, ESI LABS empowered the agency to deliver faster, fairer, and more transparent services—cutting costs while improving citizen trust.
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