Overview Claim Handling Process
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Customer
The insured person identifies in our system. A connection to a partner system or external user management system is possible, but not necessary.
Mobile Web Application
Through our mobile web application the insured persons have access to our virtual case manager who is based on a chatbot.
Virtual Case Manager
The virtual case manager guides the users 24x7 through the claims notification process and ask for specific information and documents.
Live Feedback to the User
The insured person receives live feedback at the moment of the data entry. The virtual assistant is able to provide or ask for additional information to/from the user.
Data processing using AI and machine learning technology
During the claims notification the data is checked for completeness and credibility. The data evaluation is fully automated and is done in the background while the user speaks to the case manager or uploads documents. This way our system is able to provide live feedback to the user regarding the claim notification.
Interface to insurance legacy system
After the claim notification, all information and files are provided to the insurance legacy system in accordance to the insurance's specifications. If requested, the claim acceptance / rejection can be done by our virtual case manager.
Insurance
The insurance company compensates the claim out of its legacy system / claim management system. The insurance has access to the case management dashboard for the generation of reports and changing the settings of the claim acceptance / rejection.
