請求処理時間を70％短縮する
書類の分析、検証、および意思決定のワークフローを自動化し、保険金請求の処理を迅速化します。
保険会社の保険金請求管理を効率化する
Automate claims management from start to finish
with built-in compliance features and AI where it matters.
What if you could process claims
70% faster while cutting costs in half?
Manual handoffs create delays, and legacy systems can lead to avoidable mistakes.
When payouts take too long, customers look elsewhere for faster service.
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.
The Claims Processing Accelerator doesn’t just automate tasks -
it orchestrates your entire claims ecosystem.
Get your tailored demo
Solving modern claims processing challenges.
Claims Processing Accelerator: AI Powered, fast and compliant.
❌ Inconsistent decisions and rework
Consistent business rules and reliable handling of complex claims data reduce errors and repeat work.
❌ Disconnected systems
Seamless integration with claims management and policy administration systems keeps information flowing.
❌ Slow reviews and approvals
Bottlenecks are identified early and workflows are streamlined to reduce cycle times.
❌ Audit and compliance pressure
Detailed audit logs and rule based validation support compliance and transparency.
❌ Delayed claimant updates
Faster processing and clearer communication improve the claimant experience.
「Claim Processing Accelerator」が貴社にもたらすメリット
保険金請求の査定精度を向上させる
AIを活用した分析を活用し、一貫性のある公正な評価を確保し、紛争を減少させます。
損害発生の初回通報（FNOL）の精度を向上させる
AIを活用した文書処理と検証により、手動によるデータ入力のミスをなくします。
保険金請求時の顧客満足度を高める
お客様が最もサポートを必要としている時に、タイムリーな最新情報の提供と迅速な支払いを実現します。
既存のシステムと直接連携する
保険金請求管理プラットフォーム、保険契約管理システム、および保険業務の中核となるアプリケーションとシームレスに連携します。
コンプライアンスの立証と監査
受領から完了までの全プロセスを追跡し、AIによる意思決定の完全な透明性を確保します。
高度なテクノロジーを活用して、提出された請求を迅速に確認する
よくある質問
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.
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.