How to Improve Your Insurance Claims ProcessThe Intersection of People, Customers, and Technology in the Claims Process
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The Intersection of People, Customers, and
Technology in the Claims Process
Opportunity for insurance carriers to secure their future
• Engaging and communicating with customer base
• Workforce talent management
• Streamlined Operations
• Fraud prevention
• Business growth
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Are These Your Challenges?
Workforce
Talent
Problem
Reduce
Fraud
Engaging
with
Customer
Base
Streamlined
Operations
Business
Growth
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Grow your Business and Customer Satisfaction
1. Digitize Paper Documents
2. Recognize Data
3. Integrate Multi-Channel Communication
4. Classify Documents
5. Extract Data
6. Enable Customer Interaction
7. Automatically Initiate Business Transactions
8. Automate Business Processes with Insight
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Step 1: Digitize Paper Documents at Point of Entry
2. Recognize Data
3. Integrate Multi-Source Capture
4. Classify Documents
5. Extract Data
6. Enable Customer Interaction
7. Automate Claims Workflow
8. Enable Fraud Detection
XYZ Insurance
1. Digitize Paper Documents
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Step 2 – Data Recognition
1. Digitize Paper Documents
3. Integrate Multi-Source Capture
4. Classify Documents
5. Extract Data
6. Enable Customer Interaction
7. Automate Claims Workflow
8. Enable Fraud Detection
2. Recognize Data
XYZ Insurance
INSURED:
1234567890
NO
INSURED
ILYA
DAMAGE
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Step 3: Integrate Multi Channel Communication
1. Digitize Paper Documents
2. Recognize Data
4. Classify Documents
5. Extract Data
6. Enable Customer Interaction
7. Automate Claims Workflow
8. Enable Fraud Detection
3. Integrate Multi-Source Capture
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Invoice
Complaint
Account Change
Claim
1. Digitize Paper Documents
2. Recognize Data
3. Integrate Multi-Source Capture
5. Extract Data
6. Enable Customer Interaction
7. Automate Claims Workflow
8. Enable Fraud Detection
4. Classify Documents
Step 4: Document Classification
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Step 5: Data Extraction
1. Digitize Paper Documents
2. Recognize Data
3. Integrate Multi-Source Capture
4. Classify Documents
6. Enable Customer Interaction
7. Automate Claims Workflow
8. Enable Fraud Detection
5. Extract Data
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Step 5: Data Extraction - Classification
1. Digitize Paper Documents
2. Recognize Data
3. Integrate Multi-Source Capture
4. Classify Documents
6. Enable Customer Interaction
7. Automate Claims Workflow
8. Enable Fraud Detection
5. Extract Data
Linguistically
Rule Based If color is red thenclass is tomato
Graphically
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Step 6: Enable Customer Interaction
1. Digitize Paper Documents
2. Recognize Data
3. Integrate Multi-Source Capture
4. Classify Documents
5. Extract Data
7. Automate Claims Workflow
8. Automate Business Processes with Insight
6. Enable Customer Interaction
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Step 7: Automatically Initiate Business Transactions
1. Digitize Paper Documents
2. Recognize Data
3. Integrate Multi-Source Capture
4. Classify Documents
5. Extract Data
6. Enable Customer Interaction
8. Enable Fraud Detection
7. Automatically Initiate Business Transactions
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Step 8: Enable Fraud Detection and Prevention
1. Digitize Paper Documents
2. Recognize Data
3. Integrate Multi-Source Capture
4. Classify Documents
5. Extract Data
6. Enable Customer Interaction
7. Automate Claims Workflow
8. Enable Fraud Detection and Prevention
Advanced data
mining Mobile Devices
Segment Risk
Predictive Modeling
Pattern
Spotting Self Learning
Hard FraudCross Provider
Security
Mechanism
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Artificial Intelligence Opens New Opportunities
UNDERSTAND PROCESS KNOW
?i
!
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The Intersection of People, Customers, and Technology
in the Claims Process
Presents significant opportunities for insurance carriers to secure their future
• Engaging and communicating with customer base: Support policy holder
communication preferences and fully integrate all communication
channels including social media
• Workforce talent management: Leverages the expertise of most
experienced agents and offer a comprehensive, self learning knowledge
base to new staff
• Streamlined Operations: Reduce manual steps and silos into end-to-end
claims process automation
• Fraud prevention: Focused data mining and analytics
• Business growth: Reduce cost and create additional revenue
Questions?
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