Automated Claim Assistance
Reducing administrative burden on claims staff
Modern technology can significantly reduce the administrative burden on claims professionals. Being able to speak by phone in the preferred language of a non-native English speaker (without the need for a translator); instantly transcribing and summarizing calls; leveraging virtual agents to take in FROI and FNOL calls; assigning the right adjuster without human intervention; and making scheduling an appointment as easy as making a restaurant reservation are all possible and enable claims professionals to make the best use of their time and talents.
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Automated claim assistance features:
Real-time Translated Voice Calls
Although it may sound like science fiction, claims professionals are now able to call non-native English speaking claimants and policyholders, and both parties can hear the other person speaking in their preferred language–e.g., English to Spanish and vice versa. Dozens of languages are supported. You can use your existing phone system, or call right from your claim system. And as soon as the call ends, you’ll have a recording, transcription (in both languages), and call summary in your claim system. The same tech can be utilized for calls that don't need to be translated, yet you still want a recording, transcription, and summary.
RECORDED STATEMENT TRANSCRIPTION & SUMMARIZATION
With just the click of a button, claims professionals can perform a recorded statement and get a copy of the recording, transcription, and call summary right in their claim system as soon as the recording is complete.
24/7 FROI & FNOL CALL INTAKE
Take your FROI and/or FNOL to the next level with a highly configurable 24/7 automated call-in line. Your organization’s personalized call-in line can quickly and naturally prompt and confirm responses; text or email a link to the individual reporting the injury or loss at the end of the call to confirm and complete any potential missing entries; and immediately notify all appropriate parties and transmit completed entries into your claim system.
Adjuster Assignment
Utilize the power of AI to assess all key variables and intelligently assign the ideal adjuster for each claim, and even reassign a claim where appropriate.
Appointment Scheduling
Give policyholders and claimants the ability to automatically and conveniently schedule and reschedule appointments with their adjuster(s), so the process of meeting or speaking with their adjuster is as easy as making a restaurant reservation.
Ready to improve your claim outcomes?
Join the growing number of carriers, employers, and TPAs using Gain Life's AI-enabled claims communication platform to save claim costs, improve efficiency, and provide a better claims experience for all parties.
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