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Automated and Integrated Claims Processing (Technology Focus)

Published by: Datamonitor

Published: Jan. 31, 2007 - 14 Pages


Table of Contents


DATAMONITOR VIEW

CATALYST

SUMMARY

METHODOLOGY

ANALYSIS

Claims managers increasingly consider technology a key part of business strategy

Principles and objectives of claims processing technology

Identifying opportunities: The claims ""supply chain""

Technology approaches to claims processing

Software packages offer robust functionality

Claims components and services - claims within an enterprise architecture

Intregation and automation support exception management

Exception management detects insurance fraud

Exception management reduces leakage

Conclusion: As the heart of non-life insurance, claims' strategic importance is growing

APPENDIX

Definitions

Insurance Terms

Technology Terms

Further reading

Ask the analysts




List of Figures

Figure 1: How will you create efficiency via your IT spend?

Figure 2: Automation and integration in the claims process

Figure 3: Reengineering or components currently the dominant approaches

Figure 4: Technology approaches for Claims

Abstract

Introduction

A decline in non-life insurance premium growth is causing insurers to improve the heart of their operations - claims.

Scope
  • Examines the current state of the various technology strategies for claims managers.
  • Analyzes aggregated information from various interviews and discussions with major FSIs and vendors.
Highlights The premium increases experienced from 2001 to 2004 have turned downward, raising pressure on insurers to improve cost ratios and reduce operational expenses. This has resulted in a greater sense of urgency for insurers to invest now in process improvements.

The structure of claims is increasingly seen as similar to that of a supply chain, with clearly delineated functions that can be targeted to expose varying degrees of efficiency.

Reasons to Purchase
  • Learn of why claims managers are increasingly considering technology as a key part of business strategy.
  • Understand the fundamental principles and objectives of claims processing technology. Become educated on technology approaches to claims processing.


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