Streamlining the Complexity of Claims with Decision Management Solutions

Insurance claims management is a complex business. Customers want their claims processed and approved quickly. Insurance providers need to manage risk, improve scalability, retain institutional knowledge when staffs turnover, reduce overhead costs of management, and comply with myriad government regulatory requirements. To optimize operations and meet all of their compliance requirements, many insurance companies have a goal to increase the percentage of claims that can be processed and adjudicated with no human decision-making involved. In other words, they want to increase their rate of straight-through processing. Drawing from lessons learned from our customers, Decision Management Solutions and FICO will share how organizations can:

• Simplify the management of the decision-making capability through automation
• Provide visual clarity and elicit valuable knowledge with decision models
• Clarify the "what" and "why" when streamlining and automating decisions