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Here’s how to get past complicated integrations, outdated systems, and other claims efficiency roadblocks that get in the way of both of those things.
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These integration difficulties — and other common problems, like outdated anti-fraud tools — are often rooted in legacy and modern legacy core systems.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.
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.
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.
EIS makes claim submission easier for customers, as esure saw when it adopted ClaimCore. Now, more than 40% of its claims are electronically filed, and customers have round-the-clock access to self-service features on both desktop and mobile.
esure customers made their voices heard when surveyed about the ease of doing business with their insurer. Since implementing EIS, esure consistently earns a 60+ transactional net promoter score.
Last but definitely not least, esure saw bottom-line positives thanks to automated claims processing by EIS. Cost per claim dropped by 30%!
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