Cross Industry Complex Claims Automation Solution
Insurance isn’t the only industry managing high volumes of complex claims. Government, transportation, retail and manufacturing also require knowledge workers to manage claims involving warranties, benefits, freight and other requests for payments to be made. The risk of inaccurate payments, the cost to process a claim, customer satisfaction and the impact on reputation demand a consistently speedy and accurate resolution of claims.
Prime's Complex Claims solution is specially developed to automate common patterns in claims processing: streamlining and controlling work with minimal human intervention, eliminating hundreds of manual activities and enabling you to focus on the knowledge based values of accuracy and customer service. Our solution integrates with your existing line-of-business systems and the feature-rich, low-code development platform from Appian. Prime's Complex Claims solution completely eliminates manual searching, sorting and claim assembly. No more paper folders or navigating in and out of multiple applications.
For each category of claim (freight, benefit, warranty, etc.), Prime provides the knowledge worker with a 360 degree view of the claim. Easily accessible are all related: content folders, data, common tasks, history, rules, work in process and much more. This enables claims processors to make rapid and accurate decisions to resolve the claim.
In a climate of mounting complexity, the challenge to become more competitive at lower costs may seem an impossible one. Appian's 6 to 8 week implementation and low cost offer a “hard-dollar” ROI that other products simply cannot deliver. With the intelligence of Appian, and the hidden power of your existing line-of-business systems, Prime Solutions' clients realize the same gains that other organizations handling high volumes of complex claims already have…
- 50 % less customer turnover
- Accurate and consistent payments
- 45% increase in employee productivity
- 50%+ reduction in cycle times
- 100% management control of work-in-process
- ROI in as soon as 6-8 weeks
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