Claims processing

Report incident and initiate claim > Verify and adjust claim > Resolve claim

Ease the pain of claims for everyone involved

For different reasons, both the insurer and the insured would prefer to avoid the claims process. Yet it is a necessary part of your business — one that can truly differentiate your company from competitors. Adobe solutions enable customers to complete claim forms electronically, which facilitates data entry and data flow between customers and claims employees. Adobe solutions also streamline the internal interactions involved with the processing of claims. As a result, claims are processed more quickly and efficiently and customer service is greatly improved.

Report incident and initiate claim

Claimants can use a rich Internet application (RIA), accessible anywhere at any time, for guidance on what forms are necessary and what details must be provided. To help reduce data entry errors and speed processing, forms can be automatically prepopulated with customer information.

Verify and adjust claim

To make it easier for your employees to deliver personalized service and communications, the RIA can integrate with back-end systems for access to various account details, providing a holistic view of the policyholder's business relationship with your company. By establishing an automated process, certain data can be sent to other entities — a body shop, for example — to gather further information. The RIA can include a checklist for your employees, with guided screens to help them navigate the proper steps in the proper order. Also, the RIA can provide capabilities for the customer to track progress on their claims.

Resolve claim

Using a rule- and role-based approach, Adobe solutions help ensure that the right information gets to the right place at the right time. For routine claims where the process is simple, you can reap the major cost and time savings associated with straight-through processing. Adobe solutions also fully support exception handling — for example, when a claim involves unusual circumstances that require a manager's approval.

Solution benefits

Increase customer service levels by enabling customers to initiate and track claims using intuitive online applications.
Streamline document exchange, review, and approval.
Eliminate costly paper processing while maintaining information integrity and security.
Reduce data entry costs through faster integration of data within and across departments.
Reduce the error rates associated with manual data entry,
Increase the value of enterprise systems by enabling processes to extend the reach of enterprise applications,
Enable all parties involved to seamlessly participate in the claims process without buying or installing new software given the ubiquity of Adobe® Reader® and Flash® Player software.