Claims Management™

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Overview

Today's realities and tomorrow's claims expectations require a modern claims solution that integrates with emerging digital, data and technologies, allowing insurers to transform their claims process. The transformation includes rethinking traditional business claims and assumptions to establish new business processes that deliver exceptional customer service, while providing options to manage or eliminate risks and costs.

Claims Management ™ gives insurers the ability to meet these opportunities and challenges, using a highly configurable rules-based engine that enables the entire claims process, across all lines of business. Insurers can adapt their workflow and business processes to innovate and improve their business while reducing costs, shortening the claims cycle, improving loss rates, reducing leaks, and providing an improved customer experience essential to retain to existing customers.

Claims Management ™ is a comprehensive claims management solution developed by claims experts, the solution is configurable and based on robust business rules that enables insurers to meet the demanding claims expectations. Claims Management ™ uses a rules-based engine that manages the entire claims process: shortens the process, reduces response time, reduces costs, and improves productivity, all of which keep customer service at the heart of the claims system .

Key Features

  • 100% digital modular solution compatible with the cloud.
  • Claims Management: supports your entire claims settlement and processing cycle.
  • Risk assessment: early identification of the complexity of the claim and determination of the probability of litigation helps to better assess the risk.
  • Fraud management: Data analysis to assess the authenticity of a claim.
  • Assignment of the most appropriate responsible for each claim: Categorization of the policy of each user to obtain faster resolution of the case, its characteristics.
  • Sending notifications, warnings and alarms: Tracking each case with greater precision.
  • Disaster Management: It has been designed to process exceptionally high volumes of claims, especially during periods of increased claims.
  • Ready reports with real-time data: Provides fast-value, cost-effective business intelligence, along with dashboards and reporting tools to manage the entire claims management process.
  • Comprehensive information on a single platform: Collection, organization and storage of information through the data loaded in the system.

Key Benefits

  • Reduce claims management costs with better processing and a shorter claim life cycle.
  • Reduce the cost of loss with less claims filtering and better fraud management.
  • Improve subscription quality and decision making with business rules to analyze claims history
  • Improve customer service with less time to resolve claims and better self-service capabilities.
  • Improve operational efficiency with automation of routine tasks and integrated business rules and work management