Claims Processing
Drive Up Operating Margins with High-Efficiency Claims Processing
Pega offers the industry’s most complete claims solution , guiding adjusters through each claim to expedite adjudication, settlement and service outcomes. Not only can you streamline complex work across operations, channels and claims functions, you can also leverage Pega’s unique real-time decisioning to automatically drive the Next-Best-Action throughout the claims process. The result is optimized operations that dramatically lower cost while enhancing the adjusters’ ability to focus on speed, accuracy, fairness and compliance throughout the life cycle of a claim.
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Chartis: Hundreds of Millions Saved - Claims Expense Reduced by Enterprise Claims Platform |
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Claims Management for Insurance |
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Claims Management for Life Insurance |
Pegasystems — Delivering Real-World Results
- International property and casualty insurer Chartis is standardizing its propriety claims process in over a hundred jurisdictions around the globe using Pega solutions.
- New York Life, as part of its customer success strategy, selected Pega to automate its new business and claims processes. Starting from a totally manual approach, the company is building business processes and rules that will easily scale upward as volume grows. Using Pegasystems SmartBPM, New York Life is creating enhanced capabilities to empower the entire organization, enable more efficient business processes that can easily be customized, changed and/or reused, and to automate manual and tedious work.
- Farmers improved claims processing by 20% while optimizing the customer experience.