What is Insurance Claims Management Software?
Insurance Claims management software streamlines the entire process of handling insurance claims, from initial reporting to settlement. It automates workflows, manages documentation, and facilitates communication between all stakeholders, including claimants, adjusters, and third-party service providers. The software enhances efficiency by automating routine tasks, ensuring regulatory compliance, and providing robust data analytics for identifying trends and detecting fraud.
Insurance Claims Management Solution Built on NewgenONE Platform in Insurance
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Why Should You Use Insurance Claims Management Software?
Insurance companies bear a massive responsibility for settling claims quickly. However, without a dedicated claims management system, they are compelled to rely on manual processes, which often cause delays, errors, and increased operational costs. By implementing advanced insurance claims management software, companies can streamline and automate workflows, improve claims processing accuracy, and reduce the time it takes to resolve claims. This results in a win-win situation, benefiting both insurers and their customers.
Benefits of Insurance Claims Management Software
Improved Efficiency
Claims management software automates manual tasks, reducing paperwork and significantly accelerating the claims process. This means claims are approved and settled much quicker.
Unmatched Accuracy and Compliance
Claims processing software minimizes the likelihood of human error in documentation and also ensures that all claims adhere to industry regulations and standards.
Significant Cost Savings
The claims management system reduces administrative expenses by minimizing manual intervention. Additionally, it helps detect and prevent fraudulent claims, resulting in substantial savings.
Superior Customer Satisfaction
Claims management software provides policyholders with real-time updates and better transparency into the claims’ status, significantly enhancing customer experience.
Non-journey Use Cases for Insurance
Features of Newgen Insurance Claims Management Software
Customer Self-service Portal
- Mobile and web-based customer self-service portal
- Real-time claim registration and status tracking
Policy Information Retrieval and Verification
- Auto-retrieval of policy details using key indexing fields
- Claims duplicity prevention and flagging of duplicate entries to avoid errors
Smart Case Routing and Allocation
- Automated routing based on the adjudicator’s workload and experience
- Efficient registration, adjudication, tracking, and management of claims
- Seamless claims tracking through a single interface
Rule-based Algorithms
- Built-in rules for automatic categorization of claims as “fast track” or “non-fast track”
- Flexibility to add or modify stakeholders such as garages, assessors, and investigators
Thorough Claim Assessment
- Detailed claim assessment via comprehensive dashboards
- Capabilities to request additional details based on dynamic needs
Monitoring and Insights
- Defined KPIs to monitor user efficiency
- Escalation matrix and monitoring reports for transparent and timely claims processing
Customer Self-service Portal
- Mobile and web-based customer self-service portal
- Real-time claim registration and status tracking
Policy Information Retrieval and Verification
- Auto-retrieval of policy details using key indexing fields
- Claims duplicity prevention and flagging of duplicate entries to avoid errors
Smart Case Routing and Allocation
- Automated routing based on the adjudicator’s workload and experience
- Efficient registration, adjudication, tracking, and management of claims
- Seamless claims tracking through a single interface
Rule-based Algorithms
- Built-in rules for automatic categorization of claims as “fast track” or “non-fast track”
- Flexibility to add or modify stakeholders such as garages, assessors, and investigators
Thorough Claim Assessment
- Detailed claim assessment via comprehensive dashboards
- Capabilities to request additional details based on dynamic needs
Monitoring and Insights
- Defined KPIs to monitor user efficiency
- Escalation matrix and monitoring reports for transparent and timely claims processing
Lead with an Industry-recognized Platform
Success Stories
Frequently Asked Questions
Claims management refers to the process of handling and overseeing insurance claims from the moment they are reported until they are resolved. It involves a series of tasks, including verifying claim details, coordinating with stakeholders such as claimants, adjusters, and service providers, and ensuring compliance with regulatory standards. Effective claims management focuses on streamlining workflows, maintaining accurate documentation, and using data insights to detect fraud and identify patterns, ultimately enhancing efficiency, reducing costs, and improving customer satisfaction.
Claims management software simplifies and streamlines the insurance claims process, covering everything from initial reporting to final settlement. It automates workflows, organizes documentation, and fosters seamless communication among claimants, adjusters, and third-party service providers. By automating routine tasks, ensuring regulatory compliance, and offering advanced data analytics for trend identification and fraud detection, the software significantly boosts efficiency and accuracy.
Claims process automation digitizes and streamlines the end-to-end claims lifecycle, from submission and verification to settlement. It reduces manual effort, speeds up processing, and ensures greater accuracy.
With Newgen’s claims management platform, insurers can automate complex workflows, reduce turnaround times, and achieve consistent outcomes using intelligent document processing, AI, and straight-through processing.
Automated claims systems use rule-based checks, data validation, and AI to flag suspicious claims, reduce human error, and ensure compliance with regulatory standards.
NewgenONE platform integrates fraud detection engines and automated validation to identify duplicates, anomalies, and non-admissible claims, helping insurers minimize risks and strengthen governance.
Modern claims platforms enable customers to submit claims through multiple channels, including mobile apps, web portals, email, or even social media, improving accessibility and convenience.
Newgen enables omnichannel claims intake across self-service portals, mobile, agents, and partners, covering diverse claim types like death, maturity, disability, and critical illness.
Automated workflows provide real-time visibility into claim status, generate reports, and enable proactive monitoring, leading to greater operational transparency.
Newgen’s claims solution offers dashboards, KPI tracking, and escalation matrices, helping insurers monitor performance, reduce bottlenecks, and build trust with policyholders.
Yes. Automation eliminates repetitive tasks, prioritizes claims based on complexity, and enables straight-through processing, leading to faster resolutions and lower costs.
Insurers using Newgen’s claims management platform have reported significant improvements in processing speed, accuracy, and overall efficiency, allowing them to handle larger volumes of claims with greater confidence
Automated systems classify claims, calculate entitlements based on policy rules, and streamline payouts with minimal manual intervention.
NewgenONE platform automatically categorizes claims (fast-track or complex), applies benefit calculations, generates summary sheets, and ensures accurate rule-based payouts.
Leading claims solutions are designed to integrate with core policy administration, billing, CRM, and finance systems to create a unified ecosystem.
Newgen’s low-code, open architecture allows seamless integration with legacy systems and third-party applications, ensuring smooth data flow across the insurance value chain.
Faster settlements, real-time claim tracking, and self-service options improve customer trust and satisfaction.
With Newgen, policyholders get instant updates, mobile-first claim submission, and quicker settlements, ensuring a superior, customer-centric claims experience.
