Claims Management and Processing

Intelligent claims management software allows insurers to improve customer satisfaction and reduce costs. With ACTICO Platform, insurers quickly implement flexible solutions for the rules-based and AI-enabled digitalization of their claims processes.

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Claims Management

Customer Satisfaction and Cost Reduction

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.

Solution

ACTICO 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.

Impact

With ACTICO 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 all aspects of the claims management solution and can be changed whenever needed.

Applications

Quickly Adaptable Claims Management Software

Digital Claims Management

Automation, flexibility and agility are core requirements for digital claims management. Insurers need to streamline their processes while being able to quickly adapt to changing regulations and market situations. ACTICO’s decision management software helps insurers automate their processes using an easy-to-use and AI-enabled, rules-based approach. The software enables quick adaptability and greater independence from the IT bottleneck.

Read Westfaelische Provinzial success story

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 Platform enables companies to flexibly automate their account auditing processes and ensure process quality.

Read Sanitas success story


Benefits

Accelerating Digital Transformation in Insurance

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.

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.

Business Agility

Claims processing logic is implemented using graphical models that are controlled by the business. Claims management specialists are able to make changes by themselves in a quality-assured way.

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