Claims Intake

Improve customer satisfaction with automated claims intake, registration, processing, and settlement.
Intelligent solutions for claims intake automation
First Notice of Loss (FNOL)
Automate FNOL operations to shorten the claims processing time, make your customers happy and your e...
First Notice of Loss (FNOL)
Automate FNOL operations to shorten the claims processing time, make your customers happy and your employees more productive.
Not In Good Order (NIGO) Claims Identification
With endless checkboxes and documents required to process claims safely, effectively, and compliantl...
Not In Good Order (NIGO) Claims Identification
With endless checkboxes and documents required to process claims safely, effectively, and compliantly, NIGO errors can feel like an inevitable part of...
Short-Term Disability Claim Preparation
Short Term Disability claims require gathering and organizing many unstructured, variable documents ...
Short-Term Disability Claim Preparation
Short Term Disability claims require gathering and organizing many unstructured, variable documents before claims can be evaluated for eligibility or ...
TPA Claim Filing
Third-Party Administrator (TPA) claims filings need to be analyzed and managed differently than dire...
TPA Claim Filing
Third-Party Administrator (TPA) claims filings need to be analyzed and managed differently than direct claims from consumers. TPA information and auth...
Claims Subrogation and Recovery
Insurance company subrogation efforts are a critical step in the claim management process. With so m...
Claims Subrogation and Recovery
Insurance company subrogation efforts are a critical step in the claim management process. With so much focus on meeting customer communication and re...
Benefit Calculation and Payment
Once teams have analyzed and approved a claim, manual work remains to calculate the final benefit am...
Benefit Calculation and Payment
Once teams have analyzed and approved a claim, manual work remains to calculate the final benefit amount based on the policy details, claim amount and...
Claims Appeal Handling
When members submit a policy complaint or want to appeal a decision, one of several teams must revie...
Claims Appeal Handling
When members submit a policy complaint or want to appeal a decision, one of several teams must review the case. Appeals are requested via email, fax, ...
Claims Fraud Investigation
Fraud detection and investigation are a critical part of the claims process. Nearly 10% of all claim...
Claims Fraud Investigation
Fraud detection and investigation are a critical part of the claims process. Nearly 10% of all claims are found to be fraudulent, so the pressure to c...
Property Loss Notice
To begin a property loss claim, even insurance companies that can consistently access standardized A...
Property Loss Notice
To begin a property loss claim, even insurance companies that can consistently access standardized ACORD forms need to manually extract and organize t...
CMS1500 Claim Form Management
Workers’ compensation claims that begin with a CMS1500 standardized form are ripe for automation. St...
CMS1500 Claim Form Management
Workers’ compensation claims that begin with a CMS1500 standardized form are ripe for automation. Stop re-keying this data, risking both data-validati...
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Automation brochure

Intelligent Claims Intake Automation

Learn how you can improve customer satisfaction by transforming automated claims registration, handling, and settlement with Intelligent Automation.

Automation Academy® course

Intelligent Automation for Insurance

Learn about the main drivers for automation in Insurance and find out why Intelligent Automation is the ultimate solution to the challenges that the industry faces today.

Need help?
Talk to our automation experts.
They will help you select the best use case for your business and demonstrate how to scale the automation further with Intelligent Automation Cloud.

Conventional approaches have room for improvement

Conventional claims intake processes have plenty of room for improvement, as they are often:

  • Time-consuming

    Your customers want or need money fast when a claim is made. Intermediate business steps to meet internal review and compliance needs drive frustration and dissatisfaction in a highly competitive industry.

  • Irregular

    Documents from customers, agents, field adjusters and other stakeholders in the process come in a variety of forms and may not be machine-readable — which adds to the time necessary to make an informed decision on whether and how much to pay.

  • Technologically complex

    Older, siloed backend systems and tools keep teams shuffling between tabs, screens and documents, which can lead to unsynchronized data and wasted time matching information that lives in disparate places.

Customer service challenges are tough

1
Real-time expectations
Digitally native consumers have little patience for lengthy decision-making processes regarding their claim
2
Customer distrust
Many, if not most, customers believe they will be treated unfairly during the claims process
[Competitors] are transforming the competitive landscape and elevating customer expectations, so insurance companies must integrate digital technologies into their operations to keep pace. Claims should be a top priority.

Adding Intelligent Automation across claims intake improves service

WorkFusion® solutions for automated claims intake are specifically designed for insurance companies seeking to optimize operations and build a long-lasting competitive advantage.

Specialized solutions provide a comprehensive claims processing workflow that automates manual effort in an auditable and consistent manner across all stages of the claims lifecycle.

This automates mundane, repeatable tasks and lets valuable employees focus on working directly with customers to drive satisfaction and provide analysis for the most complex claims.

WorkFusion offers a unified platform with built-in analytics

WorkFusion offers a unified platform with built-in analytics, which provides a lower total cost of ownership.

Since third-party integrations aren’t required, and the solution can be installed on-premise, your critical customer data stays secure and fully transparent for regulators and compliance teams.

Machine learning models, optimized for claims processing, save insurance companies from having to hire teams of data scientists. All this while still providing:

1
An adaptive solution
that uses machine learning to learn and improve continuously
2
Operational control
and enterprise-grade security eliminating any data risks
3
Proven success
in driving customer satisfaction through faster claims intake
4
Easily scalable
portable solution, repeatable across functions
Need help?
Talk to our automation experts.
They will help you select the best use case for your business and demonstrate how to scale the automation further with Intelligent Automation Cloud.