Pega Claims Management for Life Insurance

Challenge

While processing claims requires diligence and compassion, life insurers often must search multiple legacy systems for relevant information while working under intense regulatory scrutiny. Ad-hoc manual process require examiners to research years of policy information and values. Names, birth dates, and ID numbers must be manually scanned. The result is a tedious process involving workarounds ripe for errors and data inconsistencies.

Solution

Pega Claims for Life Insurance empowers examiners to focus on claimant needs while streamlining the flow of claims across the organization. Pega’s unique process-driven approach simplifies and orchestrates your most complex life claims process. Claim settlement can become totally automated with Pega applying the industry’s leading business process and rules engines to drive down administrative costs while assuring 100% quality.