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Platform Use Case

Automate Claims Management

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Focus on Customer Satisfaction and Costs

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Challenge

The digital world places high demands on modern claims management. Customers expect simple ways to file their claims and a quick settlement. Insurers on the other hand need to evaluate quickly and efficiently, if claims are justified and fraud-proof, and approve or decline the claims.

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Solution

ACTICO Decision Management Platform allows insurers to increase automation of their claims-related processes. They use intelligent technologies such as business rules and machine learning to implement highly flexible, tailor-made claims management solutions.

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Impact

With ACTICO Decision Management Platform, even complex claims cases can be settled rapidly enabling insurers to respond faster to their customers. Automation helps reduce manual efforts to a minimum. Rules control the case selection for claims processing and can be changed whenever needed.

Application

Quickly Adaptable Claims Management Software

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Automated Account Auditing

Software applications for account auditing contain many and complex rules. These rules define, for example, medical service tariffs or the checking of incoming invoices – things that change frequently. The underlying decision management approach ensures that changes are possible at any time and can be made autonomously by the business department. Based on up-to-date rules, ACTICO Decision Management Platform enables companies to flexibly automate their account auditing processes and ensure process quality.

 

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Benefits

Accelerating Digital Transformation in Insurance

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Satisfied Customers

Customers expect their insurers to settle claims as fast as possible. Digitalized claims management processes help insurers meet these expectations and improve customer satisfaction.

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Reduced Costs

Process automation helps insurers optimize redundant tasks, such as assessing damage compensation claims. Insurers increase their operational efficiency, avoid errors and reduce costs.

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Business Agility

Claims processing logic is designed as graphical models. Claims management specialists are able to make changes by themselves in a quality-assured way.

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