3 Must-Haves in Claims Management Software

Posted by insurance software companies on May 27th, 2021

Insurance buyers need the security of policies they can bank upon more than ever in these distressed times. Yet, research by the Mactavish Group, an insurance governance firm, shows that as many as 45% of major commercial claims are disputed, an outcome that adversely affects buyers, businesses as well as the insurance industry. Designing efficacious, unambiguous insurance products is one way to run complex claims efficiently. The other is to manage claims effectively.

The modern insurer requires a battery of modern technology which is capable of efficiently streamlining insurance claims processes, thereby cutting down on time, costs, and inconvenience. Claims management solutions that have the ability to quickly root out fraud and minimize the risk of losses or litigations provide insurance teams the leeway to focus instead on areas which require their expertise the most. There are three cornerstones necessary for improving claims operations: demand management, fraud network analytics and a responsive and easy-to-use customer access.

Support for Efficient Claims Handling

Efficient claims management solutions for insurance carriers are necessary for crafting goodwill between client and company, and this translates to speed, convenience, and consistency. The use of technology is growing increasingly central for this process, with machine learning (ML) and artificial intelligence (AI) quickly becoming imperatives for improving efficiencies. Text mining and ML can iron out the creases in the earliest parts of the process and also continually keep discussions with attorneys organized and swiftly available.

Smooth, hassle-free processes supported by an effective insurance software solution are mutually beneficial for all parties involved. The likelihood of demands transitioning into litigations and bad faith decrease and make the next steps of any such process easier to handle.

Early Identification of Claims Fraud

Keeping up with claims frauds requires the use of advanced technology and an intelligent claims management solution to identify fraud at the earliest instance and prevent it from consuming too much of the insurance provider’s time.

As with claims handling, innovative and adaptive technology are central to the progress in the facet of the process. ML and AI have been game changers in tracking behavioral trends evident in previous fraudulent cases and alert the carrier to potential red flags.

Claims fraud needs an insurance software solution that can keep pace with it. Technology which not only makes the process quicker and more efficient but also more foolproof is an essential ally for insurers.

Customer-centricity

The customer continues to be at the epicenter of the entire process. Their goodwill requires processes that are geared towards improving customer experience. Claims management systems that allow easy ‘anytime, anywhere’ loss reporting, convenient claim tracking and the ability to handle multiple lines of business can help elevate customer experience.

The generation of goodwill through customer satisfaction and loyalty stands firmly at the top of an insurance carrier’s to-do list. As important as rooting out fraud is, satisfying genuine insurance claimants are the top priority to ensure high customer retention rates and also the chance to network and extend the outreach of a firm. The right insurance software solution can aid all parties by helping the customer stay on top of their own claims and allowing efficient, tightly-bound handling of the situation.

How Cogitate can Help

‘Cogitate Intelligent Claims for Insurance’ suite includes three innovative, technology-led insurance software solutions for improving claims operations. These three solutions integrate easily with the existing claims management systems of the insurance carrier. Cogitate Demand Management makes use of ML and AI to make attorney demand letter processing as seamless as possible. Cogitate Claims Fraud Network Analysis - the CFNA - uses neural networks and advanced, futuristic technology to identify and act upon potential frauds with precision available only through use of such technology. The First Notice of Loss - FNOL - is a digital claims reporting tool which can be accessed through web portals or mobile apps, making the experience for customers much better. Talk to us today to learn how Cogitate’s solutions can be integrated with your systems to modernize claims processing.