Omni-Channel Claim Intake
The solution facilitates an efficient and intelligent claims intake, improving customer experience and reducing operational costs, allowing the claims intake process to be managed with precision and ease. It enables customer interaction using omni-channel capabilities (e.g., calls, chats, SMS) while leveraging Dynamic Case Management driven by Appian Records and Intelligent Automation. The claim intake is supported through multiple channels, including but not limited to email, call, customer portal, text, and much more.
Claim 360
A consolidated perspective of claim details is provided to effectively oversee the entire claims processing journey, from initiation to resolution. The claim dashboard serves as a comprehensive hub for handling all claim-related information, presenting a 360-degree view that encompasses policy details, customer information, claim lifecycle progression, task completion status, past communications, notes, settlement financial particulars, and the ability to respond to customer inquiries through any available channel.
Built-in Analytics
Provide executives and senior management with actionable information critical for any business decisions. Utilizing the Continuous Process Improvement modules within the solution, built-in analytics and insights are accessible for diverse workflows associated with different types of claims. These analytics provide insights into the performance of workflows in terms of both time and cost, enabling decision-makers to analyze current processes to make them more optimal and streamlined.
Seamless Integration
As the solution is hosted on Appian, it optimizes existing technology investments by seamlessly integrating and consolidating enterprise applications, including current CRMs, policy management systems, payment gateways, and legacy systems. This integration facilitates the comprehensive management of all claim operations.
Omni-Channel Customer Service
Deliver smooth and uniform customer service across various channels such as the website, phone, email, chat, social media, and other digital platforms. Ensure a unified perspective with real-time updates available on the customer case dashboard.
Call Centre Automation
Streamline call center operations through seamless integration with the preferred call center platform, empowering agents to address customer requests/complaints efficiently, create cases, and enhance customer satisfaction through an end-to-end case management framework.
Self-Service Configuration Engine
A specialized self-service configuration portal is provided, empowering authorized users with the flexibility to customize and establish rules for diverse actions according to their specific requirements. These configurations enable administrative users to tailor the workflow journeys for different lines of business, oversee Service Level Agreements (SLAs) and business rules within claim workflows, determine escalation and deadline protocols for various phases of a claim workflow, and designate whether phase step execution is automated or human-driven. Additionally, it facilitates user access management, configuration, and oversight of payment and reserve authorization rules, customization of communication templates, management of configurations associated with field service agents, and many other functionalities.