Intelligently support claims management

Guide claims to the optimal claims handler with next best action recommendations for that specific customer and claim

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Claim processing speed
Reduce the requirement for repetitive analysis and decision fatigue resulting in increased speed.
Cost per claim
Deliver recommendations that empower claims handlers to take the most cost-effective actions
Net promoter score
Maximize customer satisfaction through claims personalization and reduced time to resolution.
The insurance industry is undergoing seismic shifts
Industry incumbents are facing increasing pressure from low-touch insurance providers, who power their processes using AI. Low-touch providers provide a seamless customer experience with claims payouts occurring in as little as 3 seconds.

Nevertheless, incumbents face a significant competitive advantage - their data. However, that data is vast and varied; kept within silos with access prevented due to technical, data security and regulatory concerns. Large insurers must take urgent steps to combine and democratize access to these varied data sets, or be left behind by data-led competitors.

Transformative technologies around data science, machine learning and artificial intelligence are enabling data to be used in new and exciting ways. Opportunities around intelligent automation and decision support are arising. Aided by machine learning, large insurers can seize these opportunities and enable their employees to take rapid and informed decision making in claims management, underwriting and fraud assessment.
Our insurance use cases
We have experience with a number of use cases in the areas of claims management, customer service and sales in the insurance industry.

AI-Driven Claims Recommendations

Enable claims handlers to take a personalized approach with every claim, balancing customer satisfaction, speed and cost-effectiveness. Leveraging historical claims data, Contiamo provides real-time next best action recommendations to your claims handlers, within their existing systems and workflows.

Automated Claims Routing

Optimize your claims assignment process, ensuring every claim ends up in the hands of the right team and handler. Contiamo predicts fraud risks, complexity and value to determine whether a claim is routed to a fast-track, complex or fraud analyst team; or even routing to the individual handler with the highest historical success with similar claims.

Policy Cross- and Up-Selling

With few customer touch points, turn the claims management process from a service engagement into a sales opportunity. Triggered by FNOL, Contiamo identifies the customers with the highest propensity to buy and provides your service or campaign management teams with product recommendations.

Driving intelligence in automotive claims

Contiamo is working with a large P&C insurer in Europe, enabling their 150+ non-complex claims handlers in the automotive line of business. Contiamo collaborated directly with their claims transformation team, with minimal IT support, to deliver an agile and effective solution.

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