SymbioSys Claims Management
Speed:
– Time and accuracy of claim administration and settlement
– Time to market to launch new complex benefits (claims) and hence products
Process:
– Inability to provide timely information to customer, groups on claim process, status etc.
– Disparate claims systems for different product types
– Non-availability of feedback information for effective and improved claims
Automation:
– Multiple Policy Admin platforms typically implemented for each type of product
– Multiple external parties viz. providers, banks, TPA’s etc.
Increased operational efficiency due to automation of routine tasks
Effective Insurance Claim Processing
Reduced movement of physical documents and communication cost
Significant Reduction in claims turnaround time (TAT)
Enhanced customer/partner service
Reduced Time to Market for launching new types of claims
Automate management of insurance claims based on Business Rules
Up-to-date claim status information
Efficient Claims front-office extendable to the distributors or reinsurers
Pro-active document management
Customer centric information for in-depth analysis
Express Claim option for simple and small value claims, and auto Approval of claim based on Business Rules
Assignment and Reassignment of claim using skills and load management with escalations based on SLA’s
Stage Wise Turnaround Time(TAT) analysis