Reduce claims processing time by 70%
Automate document analysis, validation and decision workflows for faster claim resolution.
Every claim moves through four steps: generating, filing, administering, and reporting. Most of the work happens during administration, where claims are received, checked, verified, decided, paid or denied, and communicated to the customer. Because this stage involves many inputs and handoffs, it often becomes manual, slow, and costly.
The Claims Processing Accelerator automates key steps and applies consistent business rules, reducing time from intake to resolution while improving accuracy and control.
❌ Inconsistent decisions and rework
❌ Disconnected systems
❌ Slow reviews and approvals
❌ Audit and compliance pressure
❌ Delayed claimant updates
Automate document analysis, validation and decision workflows for faster claim resolution.
Leverage AI-powered analysis to ensure consistent, fair evaluations and reduce disputes.
Eliminate manual data entry errors with AI-powered document processing and validation.
Provide timely updates and faster payouts when customers need support the most.
Connect seamlessly with your claims management platform, policy administration system and core insurance applications.
Track everything from receipt to completion, including full transparency of AI driven decisions.
OCTO provides an open interface for bi-directional integration, making it very easy to integrate existing solutions. All information available via the standard interface portals are exposed through APIs.
Yes, in fact, document handling is the strength of DocProStar, TCG Process’ intelligent document processing solution powered by OCTO. Learn more about DocProStar.
High volumes are easily accommodated through a combination of scalable infrastructure, optimized data processing and intelligent data management, variable volumes are handled with ease. AI-powered automation prioritizes claims, detects fraud and optimizes processes while load-balancing and real-time monitoring prevents bottlenecks.
Implementation times vary based on requirements, but a POC can be up and running in as little as 2 weeks.
With OCTO and DocProStar in control, security and compliance is taken care of without a second thought, every action is captured in detailed audit trails and access to documents is controlled via security roles. In addition, from a technical perspective, all information is encrypted in transit and at rest, ensuring complete peace of mind for even the most sensitive information.
There are a variety of fraud detection and prevention mechanisms that can be applied including anomaly detection, image and document analysis, red flag or geo-spatial rules, duplicate claim detection, human-in-the-loop review and other techniques.
The UI is universally intuitive, adaptable and efficient for all users. A user is able to personalize their view to highlight the most relevant data, fraud alerts and process tasks required to keep things moving. A powerful, easy-to-use search bar and filters allow users to quickly find claims, risk assessments and investigation details. Furthermore, the system will prioritize urgent cases and flag potential fraud. This universal interface ensures that all processing team members – regardless of role – can efficiently navigate claims, detect fraud, and complete tasks with minimal learning curves.