Life Insurance
Claims Reimagined

Embark on a transformative journey in claims processing with Alula’s Smart Claims, an innovative insurance claim verification solution enriched with Artificial Intelligence (AI). This advanced system empowers a real-time, fully automated claims processing experience, eliminating the need for manual intervention by claims processing staff.

What we do

Key Value

Smart Claims streamlines the entire claims process for faster, more accurate, and consistent adjudication, verification, and settlement. Seamlessly integrating with your existing claims landscape, it enables the business to build and maintain robust decision-making frameworks. Leverage alternative and credit bureau data through our centralised data gathering capability for more informed and precise decisions. Save time, reduce errors, enhance customer satisfaction, and boost key business metrics such as claim ratio, Full-Time Equivalents (FTE), and Cost Per Claim (CPC).

Transforming the Claims process 

The Intelligent Automation (IA) of claims decisions, by securely integrating the relevant internal and external data, enables the Straight-Through-Processing (STP) of insurance claims.

Key Challenges in Claims Verification 

Traditional human-operated claim verification processes often grapple with inefficiencies and time-consuming procedures. Challenges include manual data collation leading to inaccuracies, reliance on outdated internal data, inconsistent decision-making, and a pervasive sense of suspicion towards all claims, adversely affecting customer relations.

The Solution

Our platform transforms claims management by seamlessly integrating AI-driven automation. This system effortlessly merges with your existing claims administration framework and is accessible through APIs. It delivers decisive outcomes, transforming claims management with advanced automation, precise decision-making, enhanced efficiency, and enriched processes through internal and external data integration. Drive your business forward while exceeding customer expectations in today’s dynamic market.

How we do it

Notebook

The Smart Claim solution processes incoming data, supplemented by additional information from integrated services, and applies business-configured rules to deliver outcomes. These outcomes can either initiate straight-through-processing or provide enhanced data for your claims team’s review.

The system also incorporates AI digital twins to automate complex, unstructured decisions, insuring real-time efficiency and scalability. With capabilities for bulk testing and rule comparison, the platform not only enhances processing speed and accuracy but also maintains rigorous audit trails for complete transparency.

Why Smart Claims?

Customised for Client Success:

Alula’s PAS stands out for its ability to be tailored to diverse insurance products and client needs. From flexible billing to configurable product options, our platform ensures that every aspect of your insurance offering is optimised for both operational excellence and customer satisfaction.

Enhanced Operational Efficiency:

Designed for the modern insurance landscape, our system streamlines operations from underwriting to claims processing. With features like AI-driven analytics and automated workflows, Alula’s PAS significantly reduces administrative burdens, allowing your team to focus on strategic initiatives and customer service.

End-to-End Solution:

Life Insurance PAS is a cloud-based policy administration solution, enabling insurers to modernise their core insurance systems. Through this enterprise-level solution, we offer FSPs a single platform which administers Life, Group Cover Schemes, and Employee Benefits. This fully digital web-based solution allows the business to function from one location while scaling to suit the needs of the business.

Smart Claims diagram

Features

Benefits

Specialised Web Platform

A modern, secure platform tailored for insurers, offering key operational services.

Seamless Integration and Insight

Intuitive user interface with integration through RESTful APIs and an analytics dashboard for comprehensive service oversight and cost management.

Customised Interface

Personalised branding options for insurers, enhancing their client-facing experience on the platform.

Diverse Service Suite

A wide range of data and technology services available with the flexibility of individual or bulk transactional capability.

Streamlined Service Agreements

Eliminate complex agreements with a centralised platform for all external services.

Cost and Time Efficiency

Reduce onboarding costs and streamline policy management, enhancing operational efficiency.

Compliance and Risk Management

Offer faster service with automated underwriting and claims, leading to better policyholder satisfaction.

Consolidated Integration

Access disparate services through one interface, removing the need for multiple provider integrations.

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