Automated Decisioning
How much can be confirmed about your claimant at FNOL?
Automated Decisioning
Most claimants file legitimate claims. With a one-size-fits-all handling approach, that means your team is spending too much time after FNOL on no-to-low-touch claims. A reliable score leveraging the right data helps identify claims that can be routed for straight-through processing, bringing with it new efficiencies and savings.
Designed to automate the categorization of claims after FNOL, ClaimsX’s automated decisioning data products leverage our proprietary list of more than 500 features to score each claimant equitably on a scale of one to 100. In seconds, this off-the-shelf score is applied to aid in the segmentation of claims based on your business’s unique propensity for risk.
WHAT BENEFITS CAN YOU EXPECT?
Here are a few of the big ones:
AUTOMATE HANDLING
Scores informed by dynamic, relevant and reliable data means carriers can automate the segmentation of claims after FNOL.
IMPROVED EFFICIENCIES
With accurate and consistent claimant scores, low-risk claims can be processed immediately, creating efficiency and reducing cycle time.
REDUCED LOSS COST
Less touch and faster processing improve not only the customer experience but reduce cost.
Automated Decisioning Product Elements
“Allstate is always searching for better ways to leverage the power of data to improve our claim process... Carpe Data helps support Allstate’s ongoing efforts to seamlessly integrate data to help our people make the best, most accurate and timely decisions.”
Glenn Shapiro, President
Personal Property-Liability
“By integrating new data elements from Carpe Data into our insurance programs for small businesses, we can better understand the challenges faced by business owners and identify options to address their commercial insurance needs.”
Sharon Fernandez
President of Business Insurance
"Carpe Data is the latest addition to Zurich’s ongoing innovation programs focused on transforming the future of insurance...[Carpe Data] supports Zurich’s ongoing efforts to improve the claimant experience by expediting low-risk claims, and by providing new insights to help our people make informed, accurate, and timely decisions."
Scott Clayton
Head of Claims Fraud, UK
"Carpe Data has been a great partner in helping us strengthen the claims handling process...ClaimsX helps [us] continue to meet our goals of increased efficiency, reduced potential fraud and improved customer experiences.”
Douglas L. Kratzer
Vice President, Claims
Other ClaimsX Products
ClaimsX’s enrichment products access previously unknown data to drive automation and improve operational efficiencies. Once integrated, identity verification and robust claimant profiles come together in seconds, not days.
Empowering claims handlers, our monitoring products use current and reliable evidence-based data to corroborate or dispute loss factors. With access to millions of sources, they also continuously monitor real-time claimant activity and alert you when new, actionable insights are found.
