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Completeness Check

A large Dutch insurer wanted to substantially automate low to moderate-complexity claims of digitally submitted claims. The insurer asked omni:us to implement AI along the existing digital claims journey to automate the claims handling process of low to moderate complex claims for property and casualty.

 

Warning-2

Issue

  1. Delayed communication on FNOL completeness and overall claims processing status impacted customer satisfaction negatively especially through digital channels
  2. Limited claims triaging process capabilities did not allow a resource effective routing of low, mid vs. high-complexity claims to relevant personnel
Target

IMPACT

  1. Reduced manual claims incidence of low to moderate complexity by automating claims handling
  2. Improved triaging and manual claims assignment increased case team effectiveness drastically
  3. Decreased process time for remaining manual claims
  4. Allowed a real-time claims settlement in significant amount of cases
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Solution

  1. Automated digital claims journey by applying FNOL-completeness check, coverage check, automated claims file creation
  2. Enabled automated real-time customer interaction and feedback through digital channels (incl. real-time settlement)
  3. Automated triaging and anomaly detection of claims based on complexity by routing to the relevant experts teams for manual processing or automated black box processing
  4. Augmented manual claims adjustment process steps with AI generated insights and information

Explore more

 Straight through processing in 4 essential steps. Supercharge your claims process, from FNOL to resolution.

Completeness Check

Claims Journey FNOL

Claims Indexation

Claims Journey FNOL

Coverage Check

Claims Journey FNOL

Real-Time FNOL

Claims Journey FNOL

Why Omni:us?

Our mission is to enhance insurance industry processes and workflows by simplifying the claims handling life cycles. omni:us understands the value of automation by identifying key processes to shorten cycle times, enhance customer expectations, increase employee satisfaction, and improve data integrity to create better outcomes in the overall claims handling process.

More reasons to choose omni:us

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omni:us is proud to be one of Europe‘s Horizon2020 SME-Instrument and Fet Flag Champions.
We are grateful to have received funding from the European Union’s Horizon 2020 Research and Innovation Programme under Grant Agreement No 820323; 850053.

Co-financed by European Fund for Regional Development (EFRE)
Pro Fit-Project “Vollautomatisierung der Wertschöpfungskette im Digitalisierungsprozess von Archivdaten” with support of IBB/EFRE in 2016/2017.

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