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Appian Connected Claims

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Overview

Appian Connected Claims helps insurers streamline and automate their claims process to optimize claims handling, increase straight-through processing, reduce claims leakage, and improve the customer experience. Built on the Appian Low-Code Platform and deployed on the Appian Cloud, Appian Connected Claims delivers a 360-degree view of each claim in an actionable dashboard, unifying data from all claim systems, policy systems, and third-party applications—no data migration needed. Each modular application in Connected Claims is designed to target operational gaps and optimize claims handling using intelligent automation to deliver an immediate business impact and accelerate time to value.

Key Features

Choose one or all modules of the Connected Claims solution to address a Property and Casualty or Life insurers unique needs:

  • Customer Service - Gain a centralized view of claims from all CRMs and legacy systems, delivering actionable information and enabling seamless communication for a best-in-class customer experience.

  • Claim Operations and Settlement- Provide custom workflows for different user personas and streamline processes to speed time to close, reducing expenses and increasing satisfaction.

  • Fraud Case Management - Optimize fraud case management with a unified view and full control of all potential fraud alerts for SIU teams.

  • First Notice of Loss (FNOL)- Facilitate efficient and intelligent claims intake, improving customer experience and reducing operational costs.

  • Litigation and Recovery Management - Deliver visibility into potential subrogation and litigation, while enabling adjusters and external legal/recovery teams to collaborate across multiple channels.

  • Continuous Improvement Analysis - Understand the data behind claim performance to identify the ideal processes based on facts.

  • Field Inspections - Conduct comprehensive field inspections with intelligent scheduling and a dedicated mobile app.

  • Loss Intake - Facilitate efficient and intelligent claims intake, improving customer experience and reducing operational costs.

Key Benefits

  • FASTER CLAIM SETTLEMENT: A holistic view of data from all systems, plus omnichannel intake capability and pre-built claims journey.

  • HIGH FLEXIBILITY AND AGILITY: Add new lines of business through self-service configurations, and customize the claims journey for any LOB.

  • SUPERIOR CUSTOMER SERVICE: Appian Connected Claims brings a 360 degree view of the customer and their data, and pairs easily with Amazon Connect, an easy-to-use omnichannel cloud contact center for voice, chat, and task management.

  • PREVENT FRAUD: Optimize fraud case management with a unified view and full control of all potential fraud alerts for special investigative unit (SIU) teams.

  • UNIFIED DATA: Easily integrate with existing claims and policy systems to gain full visibility into the claims lifecycle in one dashboard.

  • STAY AGILE: Dramatically reduce time and cost to implement with the speed and power of the Appian Low-Code Platform.

Media

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