Read this case study about how this household-name insurer used EIS for successful projects in two different lines of business, and in very different regions and countries.
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Claims Automation – Use Case
EIS claims automation = serious efficiency + customer satisfaction
Insurers want incredibly efficient operations. But customers want easy filing, efficient processing, and prompt, accurate payouts.
Here’s how to get past complicated integrations, outdated systems, and other claims efficiency roadblocks that get in the way of both of those things.
Complicated integrations, outdated systems, and other claims efficiency roadblocks
A lot of data goes into processing every claim, from internal and external sources. If insurers lack proper data integrations to account for varying formats and dataset structures… redundancies, inaccuracies, and inconsistencies become more likely — and slow down claims.
These integration difficulties — and other common problems, like outdated anti-fraud tools — are often rooted in legacy and modern legacy core systems. These platforms simply weren’t built with today’s technologies in mind, and require claims teams to handle many processes manually or on slow-running systems. This ups the risk of inaccurate payouts, unfair claim denials, and other problems customers won’t tolerate.
Innovations in Automation & Claims SaaS
Cloud-based ClaimCore® and ClaimSmart™ from EIS allow claims teams to set up automated workflows to mitigate or prevent common claims bottlenecks.
For example, auto claim submissions automatically trigger interactions with repair shops and rental agencies, while claims themselves are routed directly to the correct adjusters. Meanwhile, customers receive real-time updates on claim status, so they’re never out of the loop.
ClaimCore and ClaimSmart revolutionize claims automation
ClaimSmart helps simplify claim filing for customers so they can submit the most accurate information possible from the start, without having to re-enter crucial information later on.
Automated workflows in ClaimCore and ClaimSmart enable end-to-end lifecycle management, directing claims efficiently so routine filings are quickly resolved and complex claims receive proper scrutiny (e.g., for fraud detection or subrogation).
Upon claim resolution, accurate payments are made per policy terms via airtight integration with your policy administration systems.
What customers accomplished with EIS claims technology
Digital Claims Logging
Some EIS customers can log 90% of their claims digitally, improving customer satisfaction with 24/7 claim-filing ability, and saving time and resources in their customer service centers.
Close Claims Faster
Thanks to automated claims processing, esure sped up their claims journey time by 30%.
Catching Fraud & Reducing Costs
Tokio Marine & Niched Fire started capturing 5x more fraud, and reduced fraud-related costs by 40%.
