Technology
Claims Experience Manager:
Optimising claims efficiency,
enhancing customer trust
The Claims Experience Manager offers unmatched flexibility
and efficiency, designed to streamline claims
from start to finish.
Welcome to the next generation of insurance claims management. Our Claims Experience Manager is built to optimise every stage of the claims process, from initiation to settlement, while seamlessly integrating with your existing systems. By leveraging AI-driven automation, the Claims Experience Manager accelerates claims processing and enhances accuracy, allowing your business to deliver exceptional customer service. With its intuitive, user-friendly interface, managing claims is made more streamlined and effective.
User-friendly interface
Our intuitive and user-friendly interface ensures that claims are processed swiftly and efficiently across all insurance cover types. With minimal training, users can manage claims with ease, reducing response times and improving the overall customer experience.
AI-driven efficiency and robust automation
Harness the power of advanced AI to automate document scanning, manage workflows intelligently, and provide real-time decision support. This ensures faster claims resolution, reduced human error, and improved customer satisfaction.
Seamless integration
Claims Experience Manager offers seamless integration with your existing Policy Administration Systems (PAS), Document and Records Management Systems, and Outbound Correspondence platforms, ensuring a smooth transition without disruption, creating a unified claims ecosystem for optimal efficiency.
Customisable to your business needs
Select only the features that best align with your business objectives. Our predictive AI dashboards help manage workloads and optimise employee strengths, ensuring that your team delivers the fastest, most efficient claims processing possible.
Advanced security and compliance
Safeguard sensitive customer information and maintain compliance with industry regulations through Claims Experience Manager’s enterprise-grade security features. Protect against cyber threats and ensure data integrity while maintaining customer trust.
Faster, more accurate claims payments
Automate benefit calculations, claims payment processes, including payment authorisation and approvals. By integrating with your PAS, Claims Experience Manager ensures accurate and timely payments, enhancing customer satisfaction and trust in your services.
Powered by OutSystems
Built on OutSystems low-code platform, the Claims Experience Manager delivers rapid development with minimal operational disruption. The platform’s standardised architecture ensures security, scalability, and reduced maintenance costs, enabling your business to focus on delivering exceptional customer service.
Backed by industry experts
Supported by the DB Results insurance team, made up of seasoned professionals with extensive expertise in claims management, the Claims Experience Manager meets both technical requirements and adapts to the changing needs of the insurance sector. We provide comprehensive support throughout the claims process, from initial setup to ongoing optimisation.
How the Claims Experience
Manager enhances your claims
processing efficiency and
customer experience
Our system is built to streamline every stage of the claims
lifecycle, from initial submission to final settlement,
all within one comprehensive, integrated system.
Key features include:
01
Flexible claims case configuration
Effortlessly configure claim types, claims teams, queues, task types, case workflows, task chaining, SLA settings, and LICOP SLAs. Our flexible setup ensures that your system adapts to your specific operational needs.
02
Customisable claims dashboards
Create personalised, role-specific dashboards tailored to different user types: Customer support, claims administrators, claims assessors, and claims managers. These dashboards allow for quicker and more efficient claim management, improving response times.
03
Seamless claims triage
Streamline the triage and allocation of claims based on multiple criteria, including case type, claims conditions such as ICD-10 codes and claims assessor workloads. Ensure the right cases are directed to the right teams for faster processing.
04
Configurable claims case workflow
Oversee the entire claims lifecycle through our configurable workflows. Utilise flexible SLAs and escalation settings to maintain operational efficiency and ensure timely resolution at every stage of the process.
05
Automated eligibility checks
Leverage built-in eligibility checks based on product-specific rules tied to the policy and associated benefits. Ensure that only eligible claims proceed, reducing manual intervention and increasing accuracy.
06
AI and process automation
Automate manual processes with AI-driven document scanning and processing tools. Automatically extract product rules from the Product Disclosure Statement (PDS) and summarise case notes and documents, significantly reducing the administrative burden.
07
Streamlined claim payments
Automate the payment of approved claims, including the authorisation and approval processes. Integrate directly with your Policy Administration System (PAS) to ensure seamless payment releases to claimants, reducing delays.
08
Automated email reminders
Automatically send reminder emails to claimants and external parties, such as treating specialists, trustees, and reinsurers. This ensures that tasks requiring external input or approval stay on track, minimising delays in claim processing.
09
Pre-built integrations
Take advantage of pre-built interfaces to integrate effortlessly with your backend systems, including PAS, outbound correspondence, customer and adviser portals, data warehouses, and general ledger systems, for a cohesive workflow.
10
Regulatory reporting and compliance
Confidently meet regulatory requirements, such as LICOP and APRA compliance, through configurable report extracts. Our solution also ensures that you can tailor reports to meet local regulatory standards in other geographies.
See how DB Results
created a modern PAS
for a global life insurer
Using the flexibility and efficiency of a low-code platform, a modern Policy Administration System was developed within a mere 12 weeks.
Ready to discuss your next project?
