Claims Management Solution
Improve productivity by 15% to 50%.
Claims processing is one of the most crucial service activities insurance companies perform. However, the complexity of managing a claims environment with multiple systems and manual hand-offs can create errors and delays that can cause irreparable harm to customer relationships.
CSC’s Claims Management, a component of CSC’s Customer Service Accelerator®, helps organizations simplify the claims process for customers, employees, agents and third parties. It provides an innovative solution to meet a common industry problem — improving claims service while reducing costs. Claims Management is a comprehensive life insurance claims solution designed to provide claims management and processing support for a variety of claims types in a single system. The solution is focused on enabling financial services companies to increase productivity and reduce operational costs, ensure accurate and consistent claims decisions, improve service levels, and reduce backlogs.
With its common user interface for all claim types, policy administration system integration, image and work management, and business rules and calculation engine, Claims Management provides a flexible solution to manage the entire claims process — from initial notification through claim disposition and payment.
Common View of All Claims
Claims Management makes it possible to receive initial notification from a variety of sources, including mail, fax, email and call center. Notification details are recorded and can vary by type of claim.
A complete list of policies associated with the claims, as well as previous claims history, is immediately available to claims professionals to review and validate the claim. Claims can be automatically or manually routed to an examiner or other claims professional based on configurable business rules.
Claims Management also provides support for defining parties and designations, information requirements ordering and follow-up, claim and benefit calculations and adjustments, and quality checking and approval. Claims requiring special handling, such as contestable claims or claims requiring investigation, can be tracked and managed.
Support for All Processes and Claim Types
The software includes business process management (BPM) capabilities that enable organizations to adjust workflows quickly to meet changing business dynamics. In addition to basic work management capabilities such as scanning, imaging, work assignment and routing, it allows insurers to manage activities with multiple systems and outside vendors.
Claims Management’s support for all claim types in a single system provides companies with the opportunity to improve productivity, reduce training time and access consolidated claims data for increased management reporting and fraud detection. The configurable, rules-driven solution enables more accurate and consistent claims decisions and calculations.