how to improve your insurance claims process

Post on 21-Jun-2015

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The intersection of technology, customers and people in the insurance industry clearly shows in the insurance claims process. By improving the claims process, insurance companies can realize multiple goals and tackle several challenges.

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How to Improve Your Insurance Claims ProcessThe Intersection of People, Customers, and Technology in the Claims Process

2

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

3

Are These Your Challenges?

Workforce

Talent

Problem

Reduce

Fraud

Engaging

with

Customer

Base

Streamlined

Operations

Business

Growth

4

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

5

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

6

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

7

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

8

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

9

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

10

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

11

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

12

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

13

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

14

Artificial Intelligence Opens New Opportunities

UNDERSTAND PROCESS KNOW

?i

!

15

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?

17

CONTACT US

• 1-800-944-6171

• info@kodaksolutions.com

• Facebook: www.facebook.com/KodakforBusiness

• Twitter: @KodakDI

• Blog: www.informationdynamix.com

The Kodak trademark and trade dress are used under license from Eastman Kodak Company. © 2013, 111616 Opco (Delaware) Inc.

Kodak Alaris is the trade name of 111616 Opco (Delaware) Inc.

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