A comprehensive solution for streamlining and automating the insurance claims process, providing a 360-degree view of each claim.
Appian Connected Claims is a comprehensive solution designed to optimize the insurance claims process. It provides insurers with tools to streamline and automate claims handling, increasing straight-through processing rates. The platform offers a 360-degree view of each claim through an actionable dashboard, unifying data from various sources including claim systems, policy systems, and third-party applications. This holistic approach enables more efficient claims management and improved decision-making. The solution includes modules for customer service, claim operations and settlement, and fraud case management, providing a complete toolkit for modern claims handling.
Feature List
- 360-degree claim view
- Data unification from multiple systems
- Automated claims processing
- Fraud detection module
- Customer service integration
- Claim operations and settlement tools
- Analytics and reporting dashboard
Use Case Scenarios
- An insurer could use Connected Claims to automate the entire claims lifecycle, from first notice of loss to settlement, reducing processing times.
- A claims department could leverage the fraud detection module to identify potentially fraudulent claims early in the process.
- An insurance company could use the 360-degree claim view to provide better customer service, with agents having all relevant information at their fingertips.
Functionality Overview
Appian Connected Claims functions as a comprehensive claims management system. It begins by ingesting claim data from various sources, creating a unified view of each claim. The system then applies predefined rules to automate straightforward claims and route complex ones to appropriate handlers. Throughout the claims lifecycle, it provides real-time updates, facilitates communication between all parties, and maintains a complete audit trail. The fraud detection module continuously analyzes claims data to flag suspicious activities. The platform's analytics capabilities provide insights into claims trends and operational efficiency, enabling ongoing process improvement.
Screenshot
Demo Video
App Related Tags
