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Touchless Insurance Claims Processing
Faheem Shakeel
Faheem Shakeel Updated on Nov 22, 2023  |  5 Min Read

According to a report, claims management will shift from 80% traditional and 0% no-touch to 30-40% traditional and 15-20% no-touch by 2030. Such a groundbreaking shift points towards the rising popularity of touchless claims processing or Straight-Through Processing (STP) of claims. This trend comes as no surprise considering that modern-day policyholders want to be in greater control of the quality of service they are getting from their insurers. They no longer prefer to wait around to report a loss or schedule visits with an adjuster to assess the impact or intensity of a loss. They want to be serviced – and they want it fast. Therefore, the insurers need to reimagine their claims and completely transform their operation to become a dynamic, cost-effective, and most importantly efficient system.

Touchless Claims Processing

Against such a background, touchless, automated claims processing makes a case for itself. As the name indicates, touchless claims processing is an innovative workflow wherein the claims handling – from the first notice of loss (FNOL) to settlement – is entirely no-touch, that is, having zero human involvement or interference. Digital claims processing leverages technologies like artificial intelligence (AI) / Machine Learning (ML), big data, data analytics, remote sensors, etc., as well as smartphones and mobile apps to transfer the benefits or covered sum of an insurance policy straight into the hands of the policyholder based on the business rule engines. Therefore, this process is also known as straight-through claims processing. The resulting digital ecosystem is used for claims reporting, capturing loss information, raising invoices, running system audits, and communicating between customers and insurers.

Here’s taking a look at why insurers should embrace touchless claims processing starting 2024 and beyond.

How Can Touchless Claims Processing Benefit Insurers?

Naturally, the first question to come to mind of any insurer when considering a business disruption, especially a digital one pertaining to insurance claims management, is “what’s in it for me?”

Well, allow us to break it down for you. The advantages of touchless claims in insurance can be summarized in the following points:

  • Customers crave on-demand services. As such, touchless claims processing can be a great way to meet such a demand and extend self-servicing options Insurance companies can cut down on operational costs, especially for expenses relating to printing, mailing, and managing paperwork and more importantly manual intervention
  • The claims processing cycle goes from 10-15 days with an average of 3-4 touches to 2-3 days with 1 or fewer touches
  • The imminent reduction in turnaround times also sets the stage for greater customer satisfaction and higher NPS score that enriches the customer experience
  • The infusion of technology, automation, and a data-based approach to claims management will make the process more streamlined and accurate
  • In addition to mitigating losses arising out of inaccuracies or human error, touchless claims processing also reduces the loss adjustment expense (LAE) and loss ratios
  • It increases employee satisfaction as the staff can deliver more value to the customer and faster results at work without experiencing any duress
  • The organizational performance is delinked from the number of employees (or any other resources) available, which makes companies more scalable
  • By sparing your human resources from the mundanity of regular claims-related tasks, you can reallocate them to more complex roles which can accelerate revenues further

The Road to Touchless Claims Processing: How to Practically Enable Touchless Claims Processing

The application of touchless claims in insurance can be categorized into three parts, namely, pre-claims, claims, and settlement. We take a look at each of these separately to elaborate on how or where one can inject touchless claims processing:

Road to Incorporating Touchless Insurance Claims

Pre-Claims

  • Pre-inspection: AI/ML analysis of images and videos of the insured property to capture the extent of the damages
  • Underwriting: Instant underwriting review and approval based on inputs from AI
  • Risk monitoring: Tracking insured property in real-time using telematics, remote sensors, and mobile apps
  • Risk management: Real-time alerts recommending interventions to prevent events while also rewarding cautious or responsible behavior
  • Customer service: Handling customer queries using natural language chatbots or escalating complex issues to human agents

Claims

  • First Notice of Loss: Flagging FNOL either through telematics or sensors or allowing policyholders to register FNOL using apps
  • Total loss assessment: Policyholders can submit images or videos of the property that allow an AI-backed engine to assess the extent of the damage and recommend repair or declare a total loss
  • Repair estimates: AI technology can identify the impact and severity of damage and compute an itemized repair estimate

Settlement

  • Claim review: Automated claims processing involves retrieval and analysis of police reports, customer documentation, and sensor data
  • Payment: Algorithmic approval with automatic and instant electronic payment directly to the policyholder’s bank account
  • Salvage assignment: Direct customers to the closest salvage yard
  • Fraud prevention: AI can detect fraudulent claims based on images/videos and even customer history and/or behavior

Touching Up on Touchless Claims Processing: What Lays Ahead

It is estimated that by 2025, a whopping 95 percent of all consumer interactions will be handled by automated processes and AI in order to reduce costs and increase efficiency. While this may sound like an obvious benefit for consumers, it also presents opportunities for insurers who want to stay competitive in a rapidly changing industry landscape. Plus, we have already gone over the specific benefits of touchless claims processing.

Kickstart your Journey to More Efficient, Accurate, and Cost-Effective Claims

Explore Now

Touchless, automated claims processing has become so popular that many companies are already incorporating these technologies into their practices today. Others have already begun investing in them as part of their long-term strategy plan (LTP). Looking ahead to 2024, the key trends that are expected to transform automated claims processing are:

  • Integration of Blockchain
    Blockchain integration is expected to fortify security and transparency in claims processing, ensuring immutable records and a reduced risk of fraud.

  • Expansion of Internet of Things (IoT)
    Increased utilization of IoT devices is foreseen for real-time data collection, enabling insurers to access more precise and timely information for claims assessment and processing.

Conclusion

Since it is evident that touchless processing is the future of claims management, you would need a reliable insurance technology partner to navigate these uncharted waters. Fortunately, help is right around the corner. Get in touch with the experts at Damco and kickstart your journey toward touchless claims processing!

Case in Focus

A leading insurance adjusting firm in the US sought to transform their claims estimation process. To address the inaccuracies and human errors to their property claims estimation system, we developed a neural network for precise image-based property damage estimation. By integrating it with the firm’s existing software, we ensured seamless generation of error-free claim loss reports. This AI-driven approach eliminated errors, enhanced claims team productivity, accelerated report processing, and facilitated faster service to insurance carriers. For more details, refer to the complete case study.

Go Touchless to Optimize Your Claims Workflow Today