INTELLIGENT CLAIMS ASSIGNMENT ENGINE
Claimatic’s industry-leading intelligent claim-to-adjuster assignment algorithm automatically and instantaneously allocates incoming insurance claims to the optimal internal and external claims management resources. Based on real-time, dynamic, location-based data, it takes into consideration the resources’ qualifications, experience, and license status as well as its capacity and availability.
HOW CLAIMATIC WORKS IN YOUR ENVIRONMENT
Property and Casualty
Instead of being locked into a single configuration, modify the system as business needs change, using this highly flexible, intuitive, integrated and scalable application. Claimatic implementation is simple, requiring limited resources – plugging into existing client systems.
Avoid misassignment of claims to non-licensed personnel while at the same time looking for the most qualified, nearby resource and giving customers a better match not only on distance, also by peril. Utilizes licensing and telemetry functionality to improve workload balancing for adjusters.
Overlay pif count on top of storm concentration. Ability to drop adjusters on the map and assign them a user capacity and CAT radius until complete coverage is achieved. Based on machine rules, adjusters are continuously deployed automatically.
KEY PRODUCT FEATURES
Intelligent Claims Assignment
Upon first notice of loss (FNOL), claims are instantly assigned to adjusters with the prerequisite experience, current licenses, availability, and capacity.
Staff workloads are dynamically optimized using daily/weekly/monthly claim handling limits and availability of adjusters derived from the carriers scheduling systems.
Using client-defined rules at FNOL and external data from ISO ClaimSearch, Claimatic instantly triggers alerts to fraud units for further scrutiny.
Claimatic’s automated management report highlights claims distribution efficiency and internal workforce versus external vendor assignment distribution.
Manage and view all live/expired licenses and use push notifications to Initiate license renewal.
Cat Pre-Staging & Claims Clustering
With proactive pre-positioning of adjusters, claims are subsequently automatically routed to appropriate adjusters without further manual action. CAT pre-staging and claims clustering automatically results in route optimization.
Adjuster Mobile App
Claimatic tracks adjuster locations in real-time, while simultaneously checking their availability, capacity, and license status to ensure optimal match within seconds of claim receipt