Crucial to any insurance organisation is its claims handling processes. This process is fundamental to achieving high levels of customer satisfaction and business success. Yet many insurers still rely on time-consuming, labour-intensive, and manual tasks to process claims, leading to delays and sometimes errors.
With Celaton’s Intelligent Process Automation (IPA) platform, inSTREAM™, these tasks can be streamlined through AI, Machine Learning, OCR and RPA, delivering simpler more efficient claims handling, improving processing time and case resolution, compliance, customer experience and operational expenditure.
Key Solution Features
Intelligent automatic data extraction, validation, and enrichment
Identification and extraction of key dates, claim numbers, claim content, claimant details
Verification of claims numbers with case management systems
Continual process automation with self-learning AI algorithms and analytics
Bespoke email and approval workflows and multi-step process approvals
Seamless integration and automatic export to CRM and Case Resolution platforms including Agresso, Oracle, Microsoft Dynamics and many more
Exceptions, fraudulent and duplicate claims sent for human verification and action
Secure document archive for easy access, claims tracking and compliance
User-friendly and easy to install application for multi-site and remote working
"inSTREAM helps us to reduce claim cost and speed up the claims process, a win-win for insurer and policyholder alike"
Customers who have applied inSTREAM to their Claims Processing have achieved:
Improved customer satisfaction with faster processing and case resolution
Scalability with business growth or surge periods
Significant Reduction in manual effort
Errors eliminated
Full visibility of process to ensure compliance and easy claims tracking
Intelligent Automation in Action
inSTREAM is able to process all claims regardless of how they are received including web forms, EDI, emails and attachments, paper (post and fax. It is able to read and process all formats,unstructured, semi-structured and structured ensuring all claims you receive follow a single process through inSTREAM.
inSTREAM reads and categorises the claim, whilst extracting key data and carrying out further tasks such as validation and verification of case details, identification of suspicious claims and other business checks.
As an AI platform inSTREAM requires human interaction to learn. Through an easy to use Graphical User Interface (GUI) inSTREAM collaborates with the Claims Handlers who teach it where to find key information. inSTREAM learns from every document it processes, therefore as the volume of documents processed increases, its confidence and accuracy improve and the amount of interaction needed with humans decreases, enabling employees to focus on the complex, value-based tasks.
Reporting
inSTREAM’s dashboards and reports provide organisations with visibility of processes and people enabling monitoring of costs, quality, capacity and productivity leading to greater control. inSTREAM provides analytics and insights into:
Data audit trails
Process insights
Performance analytics
All information is kept within a secure environment, with appropriate access granted. InSTREAM provides organisations with a simple and powerful way to bring together documents into a secure repository and create reports for management information.
Data Security
Celaton is an ISO27001 certified organisation which ensures your data is protected and GDPR compliant. Find out more about how Celaton protects organisation’s data.
Integration
inSTREAM has a wide variety of integration capabilities to ensure that all information is validated, verified and delivered to business compliant systems. Some examples include: