Blog Posts Decision Management

Claims Automation and Flexibility in an Emergency 

Blog: Decision Management Solutions - Decision Modeling

When it comes to insurance claims, there’s always a difference between normal operations and a disaster, like the recent hurricane in Florida. When disaster strikes, there is a need for normal, automated claims handling be turned off and replaced with more flexible, human decision-makers. Many additional claims professionals are flown in, normal operations are suspended, and the focus is on rapid response to the emergency. 

Of course, it is completely appropriate to have an emergency response protocol – one that is enacted temporarily and overrides normal operating rules. The number of claims, the cost of repairs, the sense of urgency, etc. all reflect the unique situation.  

However, it is absolutely possible for your automated claims system to also respond to emergency scenarios.  

When we build claims handling solutions (and we build them a lot), we ensure the solution empowers the business to make rapid change, enables improved customer experiences and breaks down each decision to its fundamental elements so that real-time adaptations are easy.  

When there’s an emergency, you could just turn one of these systems off and handle everything manually. But you could also use these same tools to make certain kinds of claims from inside the disaster area easier to auto-approve. You could make temporary changes to thresholds and other logic, confirming the likely impact before you make them. You could replace machine learning models built with data collected during normal operations with ones specifically build to work in disasters – or even with heuristics based on collected experience from previous similar disasters. You could update and refine these changes every day as the situation evolved and changed, making sure your system is as responsive to your customer’s needs as your people are.  

Your system could be a valued partner in emergencies, just as it is during normal operations. But only if you build it right. 

Click here to learn more about our Claims Handling Solution.

Drop us a line if you’d like to make sure your claims system is ready for the next emergency. 

The post Claims Automation and Flexibility in an Emergency  appeared first on Decision Management Solutions.

Leave a Comment

Get the BPI Web Feed

Using the HTML code below, you can display this Business Process Incubator page content with the current filter and sorting inside your web site for FREE.

Copy/Paste this code in your website html code:

<iframe src="" frameborder="0" scrolling="auto" width="100%" height="700">

Customizing your BPI Web Feed

You can click on the Get the BPI Web Feed link on any of our page to create the best possible feed for your site. Here are a few tips to customize your BPI Web Feed.

Customizing the Content Filter
On any page, you can add filter criteria using the MORE FILTERS interface:

Customizing the Content Filter

Customizing the Content Sorting
Clicking on the sorting options will also change the way your BPI Web Feed will be ordered on your site:

Get the BPI Web Feed

Some integration examples