Comarch Insurance Claims

Comarch Insurance Claims is a solution that provides comprehensive support of all types of life insurance claims. The solution helps reduce costs incurred in handling claims thanks to a reduction of paper-based tasks and the use of an internal workflow. The solution functionality covers the entire process of handling life insurance claims.

Functionality
The functionality of the system covers the whole process of handling claims:

• notification of loss
• verification of the claim
• refusal of payment
• preview of claims
• decisions of payments and denials
• records of payments and denials
• registration of correspondence
• withdrawal of the claim
• closing of claims

Business and Operational Benefits
Implementing Comarch Insurance Claims allows for the efficient and comprehensive management of insurance claims in the company. High flexibility allows insurance business optimization and quick adaptation to changing market needs.

• Increases competitive advantage
  Even the most organized claims handling process cannot be developed without appropriate IT support. To effectively compete in the insurance market, it is essential to have software tailored to the specific requirements of the claim process. The Comarch Insurance Claims system allows you to increase competitiveness through the smooth flow of information, automate processes and reduce costs.
• Automation of business processes
  Automating the process of handling claims accelerates its completion:
  • automatic calculation of benefits
  • automation of internal and external accounts
  • automatic generation of letters after 7 and 30 days after filing the claim
• Reduces operating costs
  Using the Comarch Insurance Claims solution you can significantly reduce operating costs generated during the handling of paper claims. Assembling  insurance information in one place eliminates the need for frequent exchange of information with the customer, which saves time needed to complete the claim.
• Higher quality of customer service
  Customer orientation is one of the key factors determining the competitiveness of insurance companies. The Comarch Insurance Claims system enables quick payment of benefits, which will increase customer satisfaction in insurance cover over the long term.
• Controls provision and the amount of customer payments
  The ability to browse registered claims can lead to informed pertinent decisions and eliminate underwriting risk of high-risk customers. With the support of the limit handling tool the system will automatically block payments whose value exceeds the agreed limit.

Supported types of claims
The Comarch Insurance Claims system is a flexible IT solution that supports all types of claims for the full range of life insurance and additional insurance. Types of claims registered and operated in the system include:

• Benefit of life insurance with funds claims (investments, whole or partial redemption)
• Individual life and endowment insurance claims (eg. death of the insured, child bereavement, endowment insurance, borrower's insurance)
• Group life and endowment insurance claims (family insurance, group insurance directed to small businesses or dedicated for large businesses, operating liability limits for insured individuals)
• Pension and equity insurance claims (savings products, together with the support of paying benefits in the form of pension, support of payment of pensions for life)
• Dowry insurance claims (types of insurance events created on the basis of life and endowment insurance, life insurance with the investment fund)
• Medical insurance claims:
  - benefits in kind of the random events (counseling, analyzes, processes) and objective events (vaccination, periodic medical examines)
  - medical assistance
  - internal liquidation (on the basis of accounts submitted by the applicant for medical services)
  - external liquidation (non-cash benefits by medical insurance)
• Additional security claims (incapacity for work, disability, hospitalization, operation, recovery, stay in a sanatorium, HIV infection, childbirth, child's serious illness, medical advice abroad, surgical operation)