Automated Claims Processing & Handling for Higher ROI

Business Challenge 

This leading Insurance Company receives several claims daily for documentation in the Claim Center (Guidewire), with the supporting documents uploaded on the Content Server (Open Text). They faced issues with processing a high volume of claims with a very low tolerance for error. Moreover, as the data is received in a semi-structured email and processed per the reference number, they required automation for the processes due to low error margins and high cost of operation.

Solution 

Our analysis of their existing setup demonstrated a need for automation. UiPath was our partner for bot implementation, and the process involved interaction with multiple systems, including API & UI, using Dispatcher & Performer frameworks. We extracted all the details from the email, downloaded the relevant attached documents, and Scrapping Data to remove all the required information from the email. Once all the emails are processed, the Performer is triggered to process each claim email. The relevant Documents are uploaded to Open Text as per the claims reference number and then updated on the Guidewire along with any additional notes for the respective claim using API. In case of a Business Exception, the workflow handles known exceptions and retries the specific transaction.

Benefits 

 Fewer Claims Analysts required

 Lower Average Handle Time with Higher ROI

 No reworks/Human Intervention

 Efficient automation of manual activities

Check out the case study on our website: https://bit.ly/3zbq2Yk