omni:us Digital Claims Adjuster

AI-Powered End-2-End Claim Automation for Insurers

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Description

omni:us offers the Digital Claims Adjuster, an advanced platform designed to revolutionize insurance claims processing through artificial intelligence. This system enables true end-to-end automation, starting from the First Notice of Loss (FNOL) all the way to payment creation for low to medium severity claims, often without requiring human intervention. It achieves this by combining reference claims processes, a comprehensive AI-powered claims decision catalogue, and seamless integration capabilities with existing core and legacy insurance systems. The platform is engineered to handle high-frequency lines of business, significantly reducing processing costs and improving efficiency.

By automating tedious tasks, the omni:us Digital Claims Adjuster allows human adjusters to concentrate on more complex damage assessments and critical decision-making. This not only speeds up the claims lifecycle but also enhances customer satisfaction through quicker resolutions and greater transparency. The technology is built to identify potential recovery claims with its Leakage Services feature, further optimizing financial outcomes for insurers. The system focuses on a data-driven approach, helping insurance companies transform their operations and improve their loss ratios through intelligent automation.

Key Features

End-2-End Claim Automation: Automates claims from First Notice of Loss (FNOL) to payment creation without human intervention for low to medium severity claims.
AI-Powered Claims Decisions: Utilizes a comprehensive, AI-powered claims decision catalogue and pre-trained AI & rule models for complex settlement decisions and red flag alerts.
Reference Processes: Offers out-of-the-box reference claims processes for rapid implementation and optimized claims processing.
Seamless Integration: Provides standard connectors for easy integration with major core & legacy insurance systems to access relevant policy and claims information.
AI-Powered Recovery Detection (Leakage Services): Identifies potential recovery claims to minimize leakage, featuring an 'express Recovery' service that delivers results within weeks without requiring integration.
High-Frequency Line of Business Automation: Specializes in automating claims for various lines including Household/Property, Motor, Liability, Fire, Storm/Elemental, Tap Water, Glass Breakage, and Burglary/Theft.

Use Cases

Automating First Notice of Loss (FNOL) data capture and processing.
Implementing end-to-end automation for P&C insurance claims.
Automating claim indexation for Property & Casualty insurers.
Identifying and processing potential recovery claims to reduce financial leakage.
Reducing manual workload and administrative tasks for claims adjusters.
Improving claims processing speed, accuracy, and overall customer satisfaction.
Decreasing operational costs and enhancing efficiency within claims departments.

Frequently Asked Questions

Who can benefit from the omni:us claim automation audit?

Heads of Claims & Operations, COOs & Executive Management, Transformation & Change Leaders, Digital & Innovation Teams, and IT & Architecture Leads in the insurance sector can benefit from the audit to understand automation potential.

What are the benefits of the free claim automation audit offered by omni:us?

The audit provides a clear map of your automation potential, realistic targets for improvement, insights on integration with existing initiatives, and highlights key success factors for impactful automation tailored to your organization.

What types of insurance claims can omni:us Digital Claims Adjuster automate?

omni:us automates claims in high-frequency lines of business such as Household/Property, Motor, Liability, Fire, Storm/Elemental, Tap Water, Glass Breakage, and Burglary/Theft, primarily for low to medium severity cases.

How does omni:us help reduce insurance claim processing costs?

By enabling seamlessly integrated end-to-end claims automation, utilizing pre-built reference claims processes, and leveraging an AI-powered claims decision catalogue, omni:us can help reduce process costs by up to 35 percent.

Does the omni:us platform require integration with existing insurance systems?

Yes, the omni:us Digital Claims Adjuster is designed for seamless integration within existing insurance core and legacy systems using standard connectors. However, its 'express Recovery' feature for leakage services can provide results without requiring integration.