Claims Management

Overview of product write-up

The Claims Management covers 5 major areas of claim- Notification, Validation, Investigation, Settlement and Enquiry. The product is developed using IBM’s Websphere BPM & SOA and has a rich User Interface accessible by Claimants, Agents, Policy Holders, Regulators, Professional Services, Adjusters and Surveyors. The product also has a common layer of Performance Metrics (KPI, SLA, and BAM), Workflow, Business Rules, Services & Document Management.

Benefits:

1)      Improves Effectiveness and Efficiency of Claims handling Dramatically

2)      Reduces Claims Management Costs

3)      Improves Productivity by up to 50%

4)      Improves Fraud Management

5)      Aids Regulatory Compliance

6)      Enriches Customer Relationship

Key Benefits from business point of view:

• Increasing efficiency and productivity throughout the value chain
• Improving service levels with a more effective and visible approach to claims processes

Improving cost control through pro-active cost containment management

Why customer use this product

AETINS Insurance Claims Management  optimizes the core Claims Process, Enable insurers to gain competitive edge by enhancing customer experience, improving customer satisfaction and reducing operational expenses

Key product features

• Covers Death, Disability, Hospital & Surgical, Critical Illness, Loss of Income and Waiver of Premium Claims
• Real Time process monitoring
• Easy to use UI
• Developed using BPM & SOA
• The product takes care of Performance Metrics (KPI, SLA, and BAM), Workflow, Business Rules, Services and Document Management.
• Process Oriented