Claims Processing

Automate Your Insurance Claims Process with Confidence

Simplifai Claims Processing Solution – Powered by InsuranceGPT

Experience a new level of efficiency with our off-the-shelf Claims Processing Solution. This Generative AI-powered solution, built on InsuranceGPT technology, delivers fast, accurate, and secure results. With specialized knowledge of insurance laws, company policies, and agreement terms, the solution simplifies claims processing, allowing your team to focus on providing superior customer service.

Why Choose Simplifai Claims Processing Solution?

Our secure, Generative AI solution increases operational efficiency and reduces costs. Here’s how:

Accurate Claims Processing: The solution’s domain-specific knowledge, including outlines of the specific laws, company policies, and terms of the agreement offers accurate suggestions for claim resolutions.

Increased Productivity: Increases claims processing capacity by up to 50%, reducing the need for manual review and claim investigation.

Compliance & Security: It may ensure compliance with GDPR, EU AI act, and others, depending on the data and customer input, but ensuring that the claimant’s data is secure and protected.

Benefits

Faster Claim Resolution:

By automating tasks like claim summarization, and resolution drafting, the time required to resolve claims is significantly reduced.

Customer Retention:

Accurate and timely claims handling improves customer satisfaction, leading to higher retention rates and positive word-of-mouth.

Reduced Operational Costs:

Automation reduces the need for additional staffing, minimizing claims processing costs while maintaining quality.

Works with you

The Simplifai Claims Processing solution is designed to work alongside your existing claims management system. Acting as a companion, it summarizes facts from the case and suggests possible next steps.

You are always in control

With some AI systems, it takes a little too much control. Not with Simplifai Claims Processing, it summarizes the case, prepares the law, and suggests answers, but it ensures you are always in control.

Inside the Simplifai Claims Processing Solution

Missing Document Locator

Identifies or requests any missing documents needed to complete a claim, reducing processing delays.

Claims Summarizer

Quickly compiles claim data into an easy-to-read summary, allowing for more efficient assessment and response.

Law Finder

Integrates relevant laws into the claim summary, ensuring compliance with insurance regulations and expediting the decision-making process.

Assessment Generator

Analyze claim data to suggest appropriate settlements, reducing the need for extensive manual reviews.

Response Generator

Automatically drafts personalized responses to claimants, ensuring consistency and accuracy.

Get Started with Simplifai

Take the first step toward smarter claims processing. Contact us today to learn how Simplifai can transform your insurance claims process, boost efficiency, and enhance customer satisfaction. Our team is ready to help you implement a solution tailored to your needs.

We adhere to the best-in-class data privacy and security protocols

We offer state-of-the-art, GDPR and ISO/IEC 27001:2013 compliant AI solutions. We respect user’s privacy and prioritize data protection right from design to development following the Secured Software Development Cycle (SSDLC) approach. Our transparent, enterprise-ready AI solutions empower customers with data control and clear usage purposes.   

Want to know more about our compliance commitment?

Customer feedback

Simplifai’s InsuranceGPT is revolutionizing claims processing by enabling faster and more straightforward incident reporting. It provides claim handlers with a unified workspace that condenses and summarizes complex data, suggests customized responses, and supplies relevant legal knowledge. It also makes IT administration more cost-effective and efficient, integrating seamlessly with core systems and external partners.
Ole Henrik Nygaard
Business Consultant and former Head of Motor Claims at Storebrand
As part of our business initiative to work smarter in our claims process, our primary motivation for implementing InsuranceGPT is increasing operational speed and thus customer satisfaction for our “local heroes” – the foundation of Nh1816’s competitive strength. In addition, we anticipate reducing cumulative costs by up to 15% per average injury claim case.
Rob Vissers
Senior Manager Operations at Nh1816

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