Summary

Personal Insurance Claim Process

Orchestrate insurance claims with BPMN and DMN

Creator: Camunda
https://forum.camunda.io/
Insuranceclaim initiatedAnalyze receiptIdentify damage in photoAutomatic Claim Approval Processclaim approvedautomaticallySendapproval email and request banking infobanking info receivedTrigger payment processclaim settled - approvedAdjudicateadjuster decision outcome?claim approvedmanuallyclaim settled - declinedSend decline emailclaim declinedmanual decision necessaryapproveddeclinedCustomerInsurance IT and CRM systemsGen AI Toolinitiate claim, upload photo and receiptcreatepersist resultpayment

    Automate or Adjudicate Insurance Claims

    Claims management is incredibly common but often expensive to process without automation. The personal insurance claim process blueprint provides a foundation to streamline the handling of high-volume, low-value claims, reducing delays and improving customer satisfaction. By automating key steps and providing decision insights to adjusters, this blueprint ensures quicker, more accurate claim resolutions, helping to prevent fraud and enhance overall efficiency.


    Features and Benefits

    Faster Claim Processing

    Automate routine claims for quicker resolution.

    Enhanced Accuracy

    Provide adjusters with insights for more accurate decisions.

    Fraud Prevention

    Reduce the likelihood of fraudulent claims through better data analysis.

    Improved Customer Experience

    Minimize delays and frustration with efficient processing.

    Flexibility

    Adapt the process to your exact needs in less time.

    Details

    • Marketplace release date -
    • Last Github commit Thursday, February 13, 2025
    • Associated Product Group Categories:
      • Solution Accelerators
    • Version Compatibility:
    • Used resources:

    Support and documentation
    Creator


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