Integrated and holistic view of each claim file with data coming from multiple sources. configurations and readily usable functionalities such as payments/ reserves approvals, customizable claim workflow for each Line of Business (LoB......Read More
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... Read More
Poor Efficiency - With high volumes of claims coming daily, it is a challenge for insurers to assign the right cases to the experienced adjuster based on the claim complexity and skills to ensure the claim gets settled in minimum time. The incorrect assign...Read More
Personalised claim adjuster dashboard to enable them to get on the claims immediately as they are assigned, resulting in faster turnaround time & increasing customer experience.
Reduced costs & expenses spent on each claim bringing faster claim settlement, reducing your organisation combined ratio.
See the unified view of claim with data coming from multiple systems therefore no need to login to multiple sources and thus saving a lot of time and effort for the adjusters.
Get right adjuster to work on each claim based on claims complexity & competency, bringing high work-efficiencies.
Instead of manually deciding the next steps, determine the workflow yourself, and automate your claims journey. Initiate a new litigation case, subrogation case, and field inspection directly from the claims record.
Enrichment, activity management, add/ assign activity, claim diary, reassignment, closure, Ad-hoc closure, and reopening.
Business rules for policy coverage identification, Claims assignment matrix, Claim complexity evaluation, Assign cases based on the Adjuster competency and skills.
Integrate with vendor system and address book, Vendor management, payment management with history.
Rule-based or manual reserve allocation, Reserves management, request reserve increase with authorization and notification limits, Payment authorization and payment management.
Specialized settlement specific to LoB's, Communication module (email, char, etc.), Settlement documents management.