Claims arrive with scanned documents that need checking against the policy and beneficiaries. The agent does the checks, flags fraud risks and chases missing papers, so families are paid sooner.
Linbetta can help you implement this(A) The problem
Claims teams spend most of their time checking documents and chasing missing items, so payouts take weeks at the moment customers need them most.
(B) How the agent works
The agent prepares. A person decides. Nothing important happens without your team.
- Agent
Agent reads each claim and the scanned documents
- Agent
Agent checks the policy is in force, premiums are paid and beneficiaries match
- Agent
Agent flags missing documents and possible fraud, and requests what is missing
- A person decides
A claims assessor approves or declines
- Agent
Agent updates your policy system, tells the claimant and tracks payment
(C) What it could save
1,500 claims a month, 20 minutes saved on each, frees about 500 hours a month.
That is about £15,000 a month, or £180,000 a year, at £30 an hour. Try your own numbers:
Illustrative figures. We agree real ones with you at the start, based on your own volumes.
(D) Claims Agent questions
What does the Claims Agent do?
Takes every claim from first notice to payment, with assessors deciding. Claims arrive with scanned documents that need checking against the policy and beneficiaries. The agent does the checks, flags fraud risks and chases missing papers, so families are paid sooner.
How does the Claims Agent work?
It follows five steps: 1. Agent reads each claim and the scanned documents 2. Agent checks the policy is in force, premiums are paid and beneficiaries match 3. Agent flags missing documents and possible fraud, and requests what is missing 4. A claims assessor approves or declines 5. Agent updates your policy system, tells the claimant and tracks payment A claims assessor approves or declines is the step where a person decides.
Does the Claims Agent replace staff?
No. The agent handles the checking, matching and chasing (agent reads each claim and the scanned documents, for example), and a person makes the decision at the key step: a claims assessor approves or declines. Your team spends less time on admin and more on the cases that need judgement.
How much could the Claims Agent save?
As an illustration, 1,500 claims a month with 20 minutes saved on each frees about 500 hours a month, worth about £15,000 a month or £180,000 a year at £30 an hour. Real figures are agreed with you at the start.
Which systems does it connect to?
It connects to the systems you already use, typically Policy administration, Document capture, Payments, Email and SMS. Linbetta builds it with a specialist Microsoft build team.
How do we get started?
Book a free 30 minute discovery call on linbetta.com. We then run a short proof of concept on one process, with success measures agreed up front, before rolling out.
(E) Next step
Linbetta can help you implement this.
Book a 30 minute call. We will walk through how the claims agent would work with your systems and agree a short proof of concept.