Claims Automation

Leverage Progress RPM to Capture the Benefits of Claims Automation

Despite its critical importance to insurers and their customers, the claims process remains an inefficient one that often relies on manual handling, lots of paper, and inflexible legacy IT systems. Adding to the pressure on insurers to update and improve the claims process is increasing competition, ever-growing regulatory complexity, and a trend toward mergers and acquisitions that can suddenly double a claims case load and create integration nightmares. In this context, recent technological advances that facilitate claims automation can deliver a range of valuable benefits:

• Claims automation shortens cycle times between claims opening and settlement, to the benefit of both the insurer and the customer.
• Claims automation reduces costs by making processes more streamlined and scalable, as well as by cutting down on claims overpayments.
• Claims automation facilitates the enforcement of business policies and helps to ensure regulatory compliance.
  
  

The Progress® Responsive Process Management (RPM) suite provides the insurance industry with an ideal platform on which to build, test, and run high-performance, customized claims automation applications.

Progress RPM Powers Enterprise Class Automation Solutions and Real-Time Visibility

The Progress RPM suite merges our industry leading business process automation technology with our powerful business transaction management and complex event processing technologies, into one unified platform. For the insurer looking to develop and deploy robust claims automation applications, the RPM suite offers a tandem of core capabilities that are unmatched by any other vendor’s offering:

• Leading-edge business process modeling, analysis, and development tools that facilitate close collaboration between analysts and programmers. With a searchable process repository, advanced-versioning control system, and close integration between the modeling environment and the visual IDE, Progress RPM enables rapid development and deployment of claims automation solutions as well as continuous process improvement.
• Real-time visibility into in-progress transactions, processes, and events across the entire enterprise, driven by an enterprise integration layer that seamlessly integrates data from all of your legacy IT systems.
• Business event processing that monitors defined event sources inside and outside of your business, and continuously analyzes fast-moving data streams in order to provide actionable insight that operators can respond to in real time.

Operational Responsiveness for Any Business

Not only is Progress RPM the perfect platform for high-performance claims automation, it also enables businesses to achieve an unprecedented level of operational responsiveness in a wide variety of contexts such as:

• Bank fraud detection and prevention, as well as payments visibility for the financial services industry.
• Revenue management for industries characterized by transient inventory, such as airlines and hotels.
• Event-driven customer service for customer service-intensive industries such as telecommunications.

Benefits of the Progress RPM Suite

• Gain Real-time Visibility
  Gain comprehensive insight into business events and transactions as they occur.
• Immediately Sense and Respond
  Understand how events reveal opportunities, threats or inefficiencies and take action.
• Continuously Improve your Business Processes
  Easily modify your processes to continuously meet or exceed key business objectives.
• Control Is In Your Hands
  The Progress RPM suite includes a business control panel, the Progress Control Tower, which is an integrated, interactive and customizable console that provides the insight and controls you need to drive your business.

Click here to learn more about how the Progress Responsive Process Management suite can help your business achieve operational responsiveness.