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Transforming claims processing
 
 
The client

A leading US based Property & Casualty insurance company.

 

The business challenge

With the existing claims process based around a mainframe system and paper intensive environment, the company had launched an initiative to develop an efficient claims processing system. This needed to be integrated with a Customer Relationship Management (CRM) solution that would provide a common customer view across agents, call centers and claims. This in turn would help the company improve the quality of customer interaction, target offerings and utilize cross selling opportunities.

 
The solution
Wipro was involved in this project from the proof of concept stage and evaluated tools in the areas of CRM workflow, imaging, document management and document storage. A comprehensive CRM solution around Siebel was implemented with key features like:
Computer Telephony Integration (CTI): Call Center operations were modified using CTI to enable features like routing of calls to the smallest queue and automated answering.
Automatic assignment and alerts: An automatic outbound paging system triggers a message to the concerned Field Call Representative. Claims can also be escalated automatically to superiors.

Measurable business benefits
Integration of the legacy system with CRM and work flow management tools resulted in better process handling and improved customer service
Automation of the claims processing system resulted in seamless connectivity of all personnel/multi channels involved. This included call center, field representatives, claim adjusters, office claim reps, salvage yards and towing agencies.
With the web-enablement of claims processing, services from submission of claims to queries on claim status can be effected online
 
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