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Streamline Claims Processing

Automation for More Efficient, Compliant, and Fraud-Resilient Solutions

Overview
At Tungsten Automation, we recognize and address the specific challenges faced by insurance companies in claim processing. Complex processes, exacerbated by manual data recognition and disconnected systems, hinder efficient claim assessment and validation. Customer dissatisfaction is a pressing concern, driven by the demand for seamless, 24/7 service, and frustration with manual processes and difficult user interfaces. Bad and inaccessible data further compound these issues, leading to errors, longer processing times, and increased costs. Moreover, high average handling time, fueled by insufficient insurer-claimant communication, results in a 30-40% increase in claims resolution time. With Tungsten Automation, insurers can streamline processes, improve data accuracy, enhance customer satisfaction, and expedite issue resolution, ensuring optimal performance in claim processing.
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Benefits

Faster Claim Processing and Enhanced Accuracy

Significantly speed up claim processing timelines and diminish manual errors, guaranteeing more precise claim assessments.

Enhanced Fraud Detection

Leverage automated analytics on claims data to simplify the detection of fraud patterns by identifying suspicious or fraudulent claims.

Consistency and Compliance

Improved adherence to regulatory requirements and internal policies, reducing the risk of compliance-related issues.
Solution capabilities

Advanced AI/Generative AI

Simplify content recognition, extraction, decision-making, and workflow design with GenAI.

Business Rules Engine

Define and apply business rules to automate task completion and drive smarter decision-making.

Case Management

Manage multiple documents and content and associated tasks more efficiently.

Task Automation

Gather, compare and complete data comparison tasks for faster, more accurate review.

Data Validation

Validate extracted data for precise accuracy and consistency.

Continuous Monitoring

Provide unrivaled fraud detection with real-time process monitoring and alerts.

FAQ
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