SymbioSys Claims Management

Insurance Claims Management Solutions

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Typical Challenges

– Time and accuracy of claim administration and settlement

– Time to market to launch new complex benefits (claims) and hence products

– 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

– Multiple Policy Admin platforms typically implemented for each type of product

– Multiple external parties viz. providers, banks, TPA’s etc.

Key Business Benefits

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

Key Business Drivers

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

Key Differentiators

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