Claims Administration Module
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Beyontec claims’ questionnaire-based automated process minimises the time spent on manual tasks, allowing you to focus on critical decisions that are required to effectively manage claims. From FNOL to subrogation, from fraud detection to litigation management, from automated reserve creation to settlement get automated response-driven workflows to keep you on track, on SLA compliance, and ensure that your policyholders updated at the completion of each claims process.
Module Highlights
Each feature of the module provides the specific functionality needed to support the business, the way you want to, giving you the independence and freedom needed to run the business . The in-built features enable you to adapt to market trends and requirements with greater speed and agility.
TAT Based Claims Process
The suite is a workflow-driven solution with the ability to create and manage claims processes and work queues dynamically. SLAs can be set to track and measure the response times of each process, resulting in continuous tracking and improvement of response times.
No-touch Claims
Automate the end-to-end claims processing workflow and communicate with customers digitally, in real-time, making everything completely no-touch, transparent, and accessible.
Mobility Based Claims Processing
Allow insurer to track and process claims and ensure better management of all digital documents and transactions related to claims using mobility applications.
Real-time Validation with Policies
The suite validates customer information as against policy information before it moves to the next phase of claims processing.
Automatic Reserve Creations
A default factor reserve can be assigned based on previous experience and depending upon the claim type and coverage amount using the built in AI feature.
Automatic Surveyor Allocation
The entire surveyor assignment is automated within the Beyontec Suite. The surveyor can also track all the claims allocated and provide the survey response online making the entire survey process seamless and paperless.
Automatic Garage Allocation
The suite can be integrated with the networked garage operators for real-time quote generation and approvals, and the allocation and monitoring of repairs undertaken by the garage.
Reserve History Maintenance
The reserve created can be modified by the authorised users. The suite tracks the reserves modified and maintains the history of reserve changes.
Multi-Currency Support
The suite provides option to settle claims in multiple currencies. The application captures both foreign currency and local currency values for claims reserve and settlement amount.
Online Tender Process
The suite provides option to initiate claims repair or salvage through online tender. The tender process is controlled by a start and end date. Garages can quote online and selection of the garage for repair is done once tender is opened.
Litigation Management
The suite enables the claims with litigation to be captured online. The litigation details and the calendar for case hearing can be tracked within the claim’s module.
Automated Claim Adjudication
Supports auto adjudication, pre-approvals and end-to-end claims management, as well as limits tracking at several levels including plan, benefit, sub-benefit, treatment, etc.
Real-time Dashboard
Dynamic dashboards provide a single-screen view of the customer – policy details, historical transactions, claims, payments etc… making it easy to deliver higher customer experiences.
Authority based Approval
The user authorisation engine allows insurers to set automated approvals or approval levels based on authority, for faster processing of claims.
