Claims Process

Process Framework conceptually manage the claims process very similarly, although, depending on the rules based on products, volume of claims, average amount of claims, the market segment in which they sell and their corporate cultures procedures are implemented differently.

The key steps in insurance claims process framework include the following

• Risk Prevention
• Fraud Control
• Notification
• Validation
• Negotiation
• Settlement
• Recovery
• Satisfaction

Solis Difference

The following items list some of the key areas where Solis can deliver significant business benefits to insurance companies in the claims domain:

1. Faster Response

• Faster time to market with services and processes, particularly through integration with external suppliers – better alignment between business and IT
• Faster response to customer service issues with process visibility
• Better decision making with improved information through the executive dashboard
• Continuous improvement with less effort and faster deployment

2. Revenue Retention and Growth

• Better Service – Improved customer service– Delivering SLA’s
• Faster Service – Fewer touch points
• Flexibility in implementing high touch and low touch processes

3. Cost Avoidance and Reduction

• Greater Efficiency
• Less claims leakage
• Reduced cost of claims
• Reduced errors
• Automate processes with STP - Less manual and paper-based processing
• Faster resolution of issues
• Simplify claims architecture
• Re-use components

4. Manage Risk and Compliance

• Better Operational Risk management
• Faster response to new regulation
• Better management of fraud and compliance processes

Why Solis

We have proven track record of executing SOA projects using the IBM-Websphere, SAP-Netweaver and SoftwareAG-webMethods product suite. Our SOA engineers have sound business knowledge in all vertical markets and a thorough understanding of the complete SOA life cycle. We use customer-centric, value-driven project management and solution delivery methodologies to deliver fixed-price, fixed-time solutions to our customers in various market sectors. We achieve excellence through continuous learning, innovative solutions and strategic partnerships with leading software companies.