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Modernizing Claims Management - How Data, Analytics, Cloud, Digital, and Automation Are Transforming Claims

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Digital There is no doubt that the COVID-19 pandemic has accelerated many organization's digital initiative. A digital FNOL/FROI process enables the claimant to submit a claim via multiple channels such as a customer portal or a mobile device. But an omnichannel user interface alone does not make for a better experience. In fact, it is imperative that the process leverages new technologies to capture information about the loss; for example, photos, images, videos, and even IoT data such as smartwatches and wearables. Also, a digital FNOL should incorporate AI and ML to perform virtual inspections, automated damage appraisal, loss estimating, and detection of fraudulent activities. For noncomplex, low-severity claims, the ultimate objective of a digital FNOL is to capture sufficient data to ensure straight-through processing and settle the claim in one step. The Rise of Intelligent Automation With the advent of newer technologies over the last 5-10 years, automation would eliminate unnecessary manual (human) intervention, increase operational efficiency, and reduce processing costs. Sounds perfect, right? For some things yes. It is true that automation can free up time for claims supervisors, personnel and adjustors – especially during the intake process. Filling out forms and assigning claims to adjustors can be easily handled by automation. But there are other areas where human interaction can be – and should be – utilized. MODERNIZING CLAIMS MANAGEMENT | 7

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