Document Management: Claims Processing
SGAIM offers tailor-made solutions for business process management in the Insurance Industry.
Claims processing is one of main activities of insurance companies.
The procedure for claims processing is as follows:
The process of settling claims begins with the arrival of the claim report, as a hard copy or in digital format, which is converted by the Incoming Information Management platform to a standardised format which centralises all of the information.
The processors are solely responsible for the job of checking all aspects of the claim and automating communication with the collaborators. They determine the amount of compensation due and establish agreements by amicable settlement with the claimant.
In the Business Process Management module offered by SGAIM the payment, collection and recovery processes are made secure and are automated through a set of conditions which are established in advance by the insurance company.
Control of claims pending and the creation of reports from which information can be obtained on claim rates by type of claim, area and client, as well as specific information on the policy, are made possible by the Business Intelligence module. The processors simply have to interpret the data and help to make decisions.
Benefits
The Claim Processing Management service offered by SGAIM entails the following benefits:
- 60% reduction in cost
- 40% reduction in processing time
- Immediate availability of information
- Simplification of the procedures for processors
- 60% reduction in fraud
- Greater level of protection and security
- Increase in customer satisfaction
