Settle claims faster with an integrated & holistic view of each claim file with data coming from multiple sources. Powered by rich configurations and readily usable functionalities such as payments/ reserves approvals, customizable claim workflow for each Line of Business (LoB), auto claim decision, claim complexity, and other custom business logic through business rules, along with every detail around claim financials.
Claim settlement is the step in the claim processing where the adjuster based on the claim inputs and business rules decides the settlement offer for the insurer either manually or helped though multiple automated actions. During this step, there is a high possibility of communication with the insured.
During the claim settlement step, adjusters can initiate a subrogation, litigation, recovery initiation, field inspection, payment plan, etc.
The claim settlement steps vary for different lines of businesses.
Claims FNoL is one of the many applications offered as part of Appcino's Insurance Claims operation Suite. Each of the provided applications can be deployed independently or in combination with other applications as per the requirements & use cases. This application follows standard insurance practices and is easy to integrate with any Appian application OR external existing claims systems.
Appcino's Connected Claims Operation Suite of apps offers a complete claims management solution built on Appian. The multiple applications part of this suite includes FNoL intake, adjudication & settlement (multiple LoBs), fraud case management (integration with existing specialized fraud systems), field inspection management, subrogation, litigation case management, and claim finances management (reserves, payment, recoveries). It also comes with multi-channel customer service and process mining apps helping insurers to monitor and improve their claims processes continuously.