Claims Management System
Fast, automated claims workflows from FNOL to settlement
The Challenge
Manual claims processing is slow, expensive, and error-prone. Poor visibility into claims status frustrates customers. Lack of fraud detection leads to leakage. Adjuster productivity limited by outdated tools.
NIZSOFT Solution
Intelligent claims platform with automated workflows, AI-powered adjudication, mobile-first FNOL, fraud detection, and real-time stakeholder communication. Reduce claims cycle time by 40%+ while improving customer satisfaction.
Mobile FNOL
Customers file claims via mobile app with photo upload, GPS location, and voice notes. Automated data extraction using AI reduces manual data entry.
Intelligent Routing & Assignment
ML-based claim triage routes to appropriate adjusters based on expertise, workload, and location. Automated assignment with SLA tracking.
Fraud Detection
Real-time fraud scoring using predictive models. Pattern recognition across historical claims. Integration with fraud databases and watchlists.
Automated Settlement
Rules-based auto-adjudication for simple claims. Integrated payment processing with multiple methods. Automated reserves and recovery management.
40%
Faster Claims Processing
60%
Auto-Adjudicated Claims
85%
Customer Satisfaction