2. Obstacles to Claims Assignment Automation
Claimatic: a SaaS-based automation
solution for claims assignment
• A bolt-on-brain for claims workflow technology that
makes existing systems smarter, more valuable and
productive
• Addresses the concerns associated with adopting new
technology
Assigning claims adjusters is a manual and
inconsistent process
• Assignments made round-robin, without
consideration of proximity, capacity and
availability
• Dissatisfied customers with long lags between
incident to claims assignment and resolution
• Limited visibility to improve existing workflows
or measure productivity
Organization and technology reluctance to
change
• Resistance to abandoning current technology,
process and workflow investments
• Scarce IT resources stretched further in
deploying new technology
• Loss of productivity during the learning period
for a new system
Insurance industry challenges
• P&C lines are under margin pressure, and
carriers need to cut costs/gain efficiencies
• Poor customer experience can result in high
policy-turnover
• Regulations and licensing requirements vary by
state, or even by municipality
3. Assigned in Seconds Versus Hours
• Begins with the adjuster cohort within
territory of claim
• Identifies appropriate adjusters based on
skill set, certifications and experience
• Determines adjuster availability based on
current workload and capacity, and time off
• Real-time locations of qualified, available
adjusters assessed to minimize travel
distance
• Optimal adjuster assigned to claim, and
calendar updated with appointment
date/time
Only Solution with Multi-Dimensional, Dynamic
Matching of Claims to Resources
Claimatic Automated Claims Solution
Adjusters Located in Territory
Appropriate Certifications for Claim
Calendar Availability
Current Location
4. Designed to enhance – not replace – existing claims technology
• 60-day SaaS deployment with minimal IT support
• Bolt-on-Brain works behind the scenes – with no impact to workflows – always improving and
increasing efficiencies
• Model business rules easily customizable without IT support
• Integration hub for external claims-related data to enhance effectiveness of assignment process
• Delivers increased business intelligence
Insurance carriers reap the rewards
• Shortened claims cycle time leads to increased customer satisfaction and retention
• Increased efficiency of claims processing
• Existing technology investments made smarter and more valuable
• Personnel more efficient and effective
• No loss of productivity due to learning a new system or workflow
• Automatically assigns claims to field teams – 250 claims assigned in seconds vs. 22-27 hours
• Reduce total claims handling expenses by hundreds per claim
• Enables management and adjusters to focus on complex claims and claims assignment optimization
First and Only Seamlessly Integrated
Automated Claims Solution
5. Breakthrough custom polygonal territories
• Create and assign resources to electronic geo-fenced territories that
collectively resemble a jigsaw puzzle
• Optimize resource utilization by intelligently considering drive time
and natural or man-made barriers that accurately reflect the real-life
boundaries and borders of a territory
• Virtually eliminate the need for route optimization software as
adjusters will never have far to go to their next assignment
Exponentially impactful during catastrophic events
• Events such as hurricanes or forest fires overwhelm insurance claims
processes requiring teams of CAT adjusters to be deployed to affected
areas for additional support
• Enhanced CAT deployment features can quickly assign resources to
new territories
• Reflects relevant parameters such as qualifications, availability, and
capacity constraints, making it easier than ever to intelligently pre-
position adjusters, en masse, throughout the disaster zone
State-of-the-art, embedded mapping
capabilities are unique to the industry
6. Long Term Vision: Create a digital claims ecosystem where all claims resources can be
assigned with optimal efficiency
Example: In addition to claims adjusters, restoration contractors, carpenters, plumbers, etc. can be assigned
using Claimatic to minimize the time from loss to repair and maximize customer satisfaction
Near Term Vision: Enable the optimal use of advanced technology resources to include
the integration of AR/VR, drones, etc.
Example: Claimatic can automate compliance with municipal laws, FAA certifications, special skills, etc. to
reduce complexity of hiring a drone operator or other advanced technology vendors that assist in the
adjustment process
The Future in Claims Automation is Bright!
Insurer Community
Restoration
Contractors
Temporary
Housing
Claims Adjusters
Plumbers
Carpenters
Direct Repair
Claimatic