Claims Operations - KognitiveWorks

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Expedite settlement and resolution times

Claims Operations

Streamline claims document processing

Claims Operations

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Improve claims decision-making with insights

Claims Operations

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Flag important correspondence for action

Claims Operations

KognitiveWorks - Claims Operations

Problem:

Claims operations in P&C insurance involve handling vast amounts of documentation, such as claims correspondence, demand letters, subrogation files, and more. Manually processing these documents is time-consuming, prone to errors, and can lead to delays in claim resolution, affecting customer satisfaction and operational efficiency.

Solution:

KognitiveWorks automates the processing of claims documents using advanced AI technology. The system intelligently analyzes and categorizes incoming documents, extracting critical information such as claim details, demands, and subrogation opportunities. This information is then automatically routed to the appropriate teams or systems, ensuring swift and accurate processing.
• Automated Document Processing: The AI reads and understands different types of claims documents, whether they are PDFs, emails, or other formats.
• Intelligent Data Extraction: Relevant data, such as claimant information, demand amounts, and subrogation details, is extracted and organized without manual intervention.
• Efficient Workflow Integration: Processed data is automatically integrated into the insurer’s claims management system, ensuring that all information is up-to-date and accessible.

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KognitiveWorks - Claims Operations

Benefits:

Faster Claims Resolution: By automating the intake and processing of claims documents, KognitiveWorks significantly reduces the time it takes to handle claims, leading to quicker resolutions.
Increased Accuracy: The system minimizes human errors in document handling, ensuring that all relevant information is captured and processed correctly.
Improved Operational Efficiency: Automation frees up claims professionals to focus on higher-value tasks, such as negotiating settlements and managing complex cases, rather than getting bogged down in administrative work.
Enhanced Customer Satisfaction: Faster and more accurate claims processing leads to better service, improving customer satisfaction and loyalty.