Efficient service, quick and fair benefit payments increase customer satisfaction, build confidence and trust in insurance companies for the long term perspective. It allows to move away from price competition, towards customer oriented policies which have become the main determinant of insurance companies’ competitiveness. We can observe operations aimed to simplify and facilitate co-operation with insurers while handling claims. These activities require particular sensitivity and accuracy. This situation creates a growing demand for IT solutions to support these processes.

Handling claims becomes more efficient when it is based on data collected in a single solution. This eliminates the need for frequent exchange of information with the customer, which affects the time spent needed to complete claim examinations. The transfer process of handling claims from "paper reality" to the information world of data management and electronic documentation, results in the reduction of operational costs. Access to registered claims supports accurate and correct underwriting decisions and eliminates the high risk customers. Automatic handling limits blocks the pay out of sums, which exceed the agreed limit of insurance.

Comarch Insurance Claims is a modern solution providing comprehensive support of all types of life insurance claims. The solution helps to reduce the costs incurred in handling claims. This merit is mostly thanks to the elimination of the majority of paper-based tasks.

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)