Claims Management Suite

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Custom claim management processes

Defnition of custom executable workflows for streamlining insurance claims management processes (e.g., risk estimation and fraud detection, automated claim processing, cooperative claim management).

Co-

AI Based Fraudulent Claim Detection

Identification of potential fraudulent claims based on AI models, generated through analysis of historical data, that can recognise patterns indicative of fraud such as inconsistencies in claim data, abnormal claim behavior, or mismatched evidence.

Claim management process auditing and process improvement 

Claim management process execution logging and analysis, customisable reporting for management and audit purposes.  

Continuous analysis of business process execution logs, monitoring of KPIs and process improvements.