Spixii Claims for Appian Connected Claims

Overview

Claims are the most delicate part of the insurance value chain as they represent the moment of truth for insurers and their policyholders, directly affecting customer retention. Claims operations teams are often challenged with juggling multiple systems that contain customer and claims data, slowing the claims process and increasing the possibility for inaccurate decision making, potential fraud or litigation, or losing a customer by not meeting their service expectations. On top of this, most claims are currently notified by phone across the insurance industry. Call centres saturate quickly, especially during surges, creating high operational costs and waiting on hold for customers.

Key Features & Functionality

Spixii and Appian have partnered to offer a powerful joint solution to address this problem.
  • Spixii Conversational Process Automation ensures the gathering of all the FNOL details through its expert chatbots
  • Through pre-built integration using APIs, the claim information goes straight from the chatbots into Appian Connected Claims, where the operational claim teams have a 360-degree view of each claim in an actionable dashboard of data from all claims systems, policy systems and 3rd party applications.
  • By leveraging integrations with legacy claims systems and other third-party modules, Appian Connected Claims enables claims handlers to track the claims resolutions status in one place. Expanding from the FNOL to the ongoing resolution of the claims, claimants can enquire via the Spixii chatbots directly to retrieve in real-time claims status update by fetching the information in Appian Connected Claims.
Benefits & Business Impact
  1. Business value thanks to end-to-end automation - Augment operational resilience by reducing the impact on the call centres, especially during surges - Operational savings by enabling no-touch claims resolutions for specific losses
  2. Superior customer experience with an intuitive conversational interface - Improve Net Promoter Score - Gather valuable verbatim feedback by capturing the voice of the customer for future improvement
  3. Fast deployment with the ability to scale to deal with specific types of claims and other processes such as claims update
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