Automated Processing Solution for Insurances
Efficient automation solution for insurance
Digital processing of objection or claim letters
Insurance companies spend a large part of their resources on customer correspondence. An example of this is the time-consuming processing of objection or demand letters related to premium increases in private health insurance. According to current legal rulings, premium increases must meet specific justification requirements. Otherwise, policyholders have the right to object to the increases and claim refunds. Some lawyers even advertise to policyholders and generate partially automated objections and demand letters. Consequently, many insurance companies receive a large number of objection letters regarding premium adjustments (over 2,000 per year, depending on the insurance company).
Benefits
Relief for your employees
Automated claims processing reduces the workload for your employees. They can be efficiently deployed where they are urgently needed.
Cost savings
With our customisable automated claims handling software, you can keep settlement costs of claims and litigation low.
Support from our experts
Our PwC experts are available at any time to provide you with their many years of experience for advisory support in automating your insurance processes.
Modular Approach: The building blocks of our insurance automation software
The Automated Processing Solution for Insurances organises individual processes, creates digital files, manages deadlines and automatically generates corresponding responses with consistent high quality. Individually configurable dashboards provide you with a current overview of all key metrics at any time.
01
Analysis
- Screening incoming correspondence using Natural Language Processing (NLP) and enhanced Optical Character Recognition (OCR)
- Extraction of important information (such as date of receipt or deadline) and capturing individual parameters (including information about policyholders and incidents, as well as legal arguments) through artificial intelligence
02
Automation
- Creation and management of digital files
- Control of deadlines and incurred costs
- Automatic document generation (e.g., response letters)
03
Dashboard
- Individually configurable user interface
- Real-time key metrics (including processing status, cost risks, costs, and potential provisions to be made)
- Selectable parameters (e.g., total number of cases, disputed amounts/sums, weekly/monthly count of new objection or claim letters)