Automate your assessments and streamline your claims processing

Claims is the point of truth for any insurance company. With Decision Platform, life and health carriers can streamline and digitize their claims processes, so that claims assessors can spend more time on reviewing complex cases and supporting customers when they need it most.

A lady is on the phone while looking at her laptop. She is an underwriter using Decision Platforms automated claims software for underwriters.

Challenges for life & health claims assessors

Poor claims submission journeysPaper, PDF and scripted tele-assessment processes do not provide customers with a streamlined, personalized claim submission journey. This leads to inconsistent data capturing, multiple touch points and unnecessary delays.
Resource inefficiency across simple and complex claimsThe lack of automation in claims processes leads to manual handling of simple cases that shouldn't need human intervention. Poor triaging and lack of streamlined data-capturing processes makes managing complex claims more expensive and lengthier.
Inconsistent decisions and poor claims data analyticsEnsuring consistency of decisions across claims teams is difficult to achieve. Claims data is rarely properly stored, analyzed and used to unlock insights, or improve claims decisions.

How Decision Platform can help

Point of claim reflexive questioning

Use reflexive questions and pre-built templates to streamline the data gathering process, ensuring claimants only answer relevant questions from the start.

Automated claims triage

Automate assessments against a claimant’s policy coverage and access automated decision recommendations.

Case summary and plan recommendation

Easily access completed cases along with application form answers, decisions recommendations and final outcomes at any point.

Claims data analytics

Optimize claims outcomes with actionable insights to make data-driven decisions.

Benefits

Maximized operational efficiencyOptimize claims assessors' efficiency with digital submissions and automated decision recommendations for faster, accurate processing.
Enhanced processes and fraud detectionFor manual cases, empower your claims assessors with an easy-to-follow plan that flags specific additional evidence required.
Higher consistency in decisionsProvide customers with a simple, tailored journey that ensures accurate data capture and consistent decisions.
Improved customer satisfactionProvide quicker resolutions and clear communication to your customers, while building confidence and loyalty.