How Clara Accelerates Claims Handling
Clara is your master agent for claims handling, orchestrating real-time STP validation. Clara coordinates with its peers Nora, Fiona, and Petra and integrates seamlessly with your PAS and CMS to determine if a claim meets all the necessary conditions for STP. By applying your underwriting rules and benefit limits, Clara instantly separates valid claims from those that require manual review, maximizing speed and efficiency in the earliest stages.
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Up to 80% of claims routed automatically
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50%+ reduction in triage time
Key Capabilities
Policy & Eligibility Checks
Consults Petra for reference your Policy Administration system to confirm valid policy terms, deductables, sub-limits and available reserves.
Real-Time Data Verification
Utilizes data from Dalia and Nora to confirm the accuracy and completeness of each claim submission.
STP Logic & Routing
Pushes claims that meet predefined thresholds (e.g., smaller claims or routine events) to your STP process in your CMS and routes more complex scenarios to human adjudicators.
Fraud Investigation
Coordinates with Fiona and your specialist fraud databases to detect any suspecious behaviour that might require manual review.
Highlights at a Glance
What Clara Solves:
Manual triaging and coding overhead, and consistent application of policy rules.
Return on Investment:
Fewer errors, faster claim turnaround time, and increase customer experience.
Deployment:
Integrates with existing Claims Management Systems (CMS) and Policy Administration System (PAS), and specialist agents Fiona, Petra, and Nora via secure APIs.