Sapiens ClaimsMaster for P&C

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Overview

Sapiens ClaimsMaster for Property & Casualty (formerly called IDIT Claims) is part of the Sapiens IDITSuite for Property & Casualty and it provides simplified management and automated control of claims management handling and the settlement process. It offers intelligent, rules-driven workflow with effective claim assignment, ensuring faster cycle times, as well as rules-driven automatic claims payment.

Using ClaimsMaster, P&C carriers and MGAs can set workflows so claims processes are aligned with company policy. Claims can be submitted and tracked via omni-channels, enriching the end-user experience.

ClaimsMaster’s rich functionality and flexibility combine with the system’s integrated, centralised rules repository to ensure consistency and accuracy of all claims-related operations and documentation.

The solution is easily integrated with external systems, AI and picture recognition to perform real time validation, deeper risk and fraud analysis, and automated assessment.

Key Features

- Full end-to-end claims management, incorporating support for all P &C insurance lines of business, including specialty lines

- Early claim validation (association of a claim with a policy), ensuring only covers at time of loss can be claimed against, thus reducing claims leakage

- Multidimensional claim processing; single claim for an event with multiple involved parties and damage objects

- Automation of claims reserves that enables the business to have a clear picture of claim exposure

- Dynamic configurable questionnaires to capture additional claim information per damage object

- STP rules validate where claims are automatically settled or rejected, reducing interaction of claims handlers and improving customer service

- Multiple claim handlers per claim, allowing multiple claims processing at any time, and allowing focus on each claims handler’s specific area of expertise

- Catastrophe and group claims management

- Integrated document-management solution, supporting multiple communication channels, document composition and documents store

- Inbound and outbound documents management, integrated with the workflow module

- Digital self-service for customers, service providers and partners (intermediaries)

Key Benefits

- Places the customer at the center of the claim process, providing a single, 360-degree view via dashboards

- Multicountry, multicompany/branch, multicurrency and multilingual

- Enables automation, providing enhanced customer service and reduced claims handler involvement

- Self-sufficiency model provides the tools insurers need to take control of change

- Digital enabled

- Smooth upgrade path enables insurers to benefit from Sapiens continuous investment