Sold by: AccentureÂ
Deployed on AWS
AI-Powered Intelligent Claims is a modular, AI-driven solution that transforms claims management by streamlining every step of the process. It automates data extraction, synthesizes claim details, and delivers actionable insights to accelerate decisions. The platform enables intelligent claim intake, guides defense counsel selection, and enhances collaboration through enriched legal and loss assessments. Seamlessly integrating with existing systems, it consolidates internal and external data for comprehensive evaluations. Scalable and flexible, it improves workflows, reduces costs, and drives faster, more accurate claim resolutions.
Overview
Accenture provides a next-generation, modular solution powered by GenAI and analytics, designed to transform claims management through the innovative claims demand package synthesis approach. This advanced system empowers each step of the claims process, enabling insurers to seamlessly integrate AI capabilities into their workflows. Offered through flexible delivery and commercial models, the solution can be deployed as an end-to-end platform or customized into individual components that connect effortlessly to existing client systems.
Intelligent Intake
The solution begins with intelligent intake, where GenAI processes claim notifications from brokers or plaintiff attorneys. By leveraging AI-driven automation, it extracts critical details from submission documents, capturing and storing all relevant data. This ensures that no key information is missed, allowing for precise and timely processing.
Defense Counsel Selection
Adjusters are guided by AI-powered insights to identify the most appropriate defense counsel before a full review of the claim demand. By analyzing internal data and enriching it with external inputs, GenAI ensures that defense counsel selection aligns with the specifics of the case.
Loss Assessment and Legal Positioning
Defense counsel benefits from a robust intake synthesis generated by the system, providing a holistic view of the claim. This includes an assessment of losses and the claim's legal position, enabling defense teams to make informed decisions. By synthesizing internal and external data sources, the solution equips adjusters and counsel to collaboratively identify the optimal resolution path.
Seamless Connectivity
The platform integrates seamlessly into existing systems, enabling adjusters to:
o Navigate claim submissions with intuitive dashboards and enriched views.
o Access comparative analytics and external data sources for a comprehensive understanding of claims.
o Pull together all relevant data into a single, centralized location for evaluation.
Pipeline Improvement
By combining intelligent intake capabilities with rules-based processing, the platform prioritizes claims that align with the insurer's strategy. With a focus on efficiency, AI algorithms automatically identify submissions with high resolution potential and help adjusters focus on impactful cases.
End-to-End Comprehensive Solution
The GenAI-powered Intelligent Claims is more than just a tool; it is a fully integrated, end-to-end platform designed to revolutionize claims management. With modular flexibility, insurers can deploy the complete platform or select specific capabilities tailored to their needs.
Key Benefits
o Efficiency: Streamlines the claims process, reducing manual intervention and accelerating resolution times.
o Accuracy: Captures and synthesizes critical data, minimizing errors and improving claim outcomes.
o Strategic Insights: Provides actionable recommendations to adjusters and counsel, enhancing decision-making.
o Scalability: Adapts to claims of all complexities and seamlessly integrates into existing workflows.
o Cost Optimization: Reduces operational costs by automating repetitive tasks and improving resource allocation.
Accenture's solution combines intelligent ingestion, data enrichment, and AI-powered collaboration to deliver a transformative claims management experience. Whether deployed as a modular solution or an end-to-end platform, it empowers insurers to achieve operational excellence while exceeding client expectations.
Highlights
- Automates claim notifications and intelligently extracts key data from submission documents. Delivers comprehensive insights and actionable recommendations to adjusters, accelerating claim resolution with greater accuracy while reducing manual effort and errors.
- For complex or litigated claims, the product leverages AI-driven analytics to assist adjusters in identifying the most suitable defense counsel. Enhances collaboration by synthesizing loss details and legal positions, ensuring strong alignment between adjusters and counsel to drive effective and strategic claim resolutions.
- Effortlessly integrates with existing client systems, unifying internal and external data into a centralized hub. Its modular, scalable design supports claims of all complexities, allowing insurers to deploy tailored solutions or a full end-to-end platform based on their needs.
Details
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Delivery method
Deployed on AWS
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Pricing
Pricing is based on the duration and terms of your contract with the vendor. This entitles you to a specified quantity of use for the contract duration. If you choose not to renew or replace your contract before it ends, access to these entitlements will expire.
Additional AWS infrastructure costs may apply. Use the AWS Pricing Calculator to estimate your infrastructure costs.
Dimension | Description | Cost/12 months |
|---|---|---|
50 Users | Annual cost for 50 users | $300,000.00 |
Vendor refund policy
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Delivery details
Software as a Service (SaaS)
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Support
Vendor support
Contact supplier for support - acn.apn@accenture.comÂ
AWS infrastructure support
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