Claims Automation: All You Need to Know about Insurance Claims Processing Automation

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The insurance industry deals with a huge pile of papers and a lot of claims. If it wasn’t for technology, we would still have to wait a long time for the claims to be processed. Also, there are many errors during manual work with Insurance claims. Meet the claims automation in a modern way that makes the process easier. Technology can now handle manual and repetitive tasks. How and why? This article explains everything you need to know!

Insurance Claim Processing Steps

Insurance claim processing consists of five steps. The agencies must collect the needed documentation and evidence to approve the claim.

Step 1. Getting in Touch

Firstly, a client contacts the insurance company and shares the documentation, evidence, and details to support the claim. The broker summarizes this and works with a claims adjuster to start an investigation.

Step 2. Claims Investigation

At this point, the claims adjuster will investigate the damage, identify who is liable, and determine how much coverage the policy provides. They will also hear any witnesses available for this case.

Step 3. Policy Review

In this step, you acknowledge the customer with their policy. They will understand what is and isn’t covered and learn about the deductibles.

Step 4. Assessing the Damage

The adjuster gets help from professionals to assess the damage. They will work with appraisers, contractors, and engineers. At this point, the adjuster can recommend contractors for repairs to save you money.

Step 5. Payment Processing

When the adjuster verifies everything and is convinced, they will proceed with payment. The time needed for payment processing depends on the case. During this step, damaged items will be replaced, and any necessary repairs will also be completed.

Claim Processing Trends

As you see, claim processing is a cumbersome and time-consuming procedure. Therefore, if you would like to simplify it, automation is the best way out Below are the technological trends to consider when embracing claim processing automation.

AI

Today, artificial intelligence is entering every industry. But how can it benefit insurance agencies? AI can help deliver a customized experience for users. When applying for insurance claims, AI will get data, analyze it, and make personalized recommendations according to the user profile.

Robotic Process Automation

Claims processing is a hefty job that involves many steps, from managing claims to completing administrative work. Still, insurance companies need to provide reliable, private, and accurate processes. Submitting the information in various formats makes everything trickier.

Robotic process automation tools capture data from claim documentation. The employees now don’t need to check the policies, manually enter the information, or review applications. This is all completed with robotic automation. Despite making the job easier, this ensures compliance with the industry regulations.

Intelligent Process Automation

What should be done to classify claims, annotation, and reduce costs? Intelligent process automation is here to take care of that. Insurance agencies handle many documents. The most difficult thing is to sort and review them. The IPA is here to tackle the tedious tasks so our employees can focus on providing the best service. It analyzes the documents and algorithms read the documents the same way humans do.

And let’s not forget about data entry tasks. These are time-consuming and require attention. Your employees probably spend a lot of time on labor-intensive tasks like these. The IPA can automate them and help with underwriting, processing claims, creating reports, and new customer applications.

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