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Open Claims Audit
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Review files automatically and stem financial loss.

Property & casualty (P&C) insurers often overpay claims due to errors in the claim adjustment process. Cognizant Open Claims Audit helps managers review claims automatically—before closure—and reduce errors that could lead to loss.
With this solution, which features advanced rules and natural language processing, you can reduce financial leakage and drive claims process improvements. Shift from post-payment sampling of files to automated, near-real-time claims analysis across eight dimensions. All files are prescreened against industry best practices and your own policies.
Audit before closure
Audit before closure

Automatically review open claims in near real time using advanced rules management and natural language processing. Find and fix errors before finalizing payments.

Reduce leakage
Reduce leakage

Avoid overpayment caused by human or process error. Gain a comprehensive view of the actions needed to reduce risk and drive process improvements over time.

Reduce cost
Reduce cost

Lessen reliance on expensive third-party audits for leakage. Finalize claims faster and streamline processes.

Manage risk
Manage risk

Guard against both random and systemic errors. Understand the actions needed to reduce risk by always driving process improvements.

Improved the process
Improved the process

Drive changes toward more consistent claims performance. Apply metric-driven health checks to individual adjusters and their teams.

Tuned to business
Tuned to business

Easily adjust business rules at your convenience and without reliance on IT support. Advanced cloud technology reduces leakage in both the near and long term.

 

Learn more about our Property & Casualty solutions for your business.

 

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AUTOMOTIVE MANAGEMENT

Leadership

Aditi Saraf

Venture Leader, Open Claims Audit

Agil Francis

Senior Principal and Consulting Leader

Take the first step

Serving customers by looking forward as well as back is a big promise, but the power of today’s new digital capabilities is vast and growing.

Let’s talk about how digital can work for your business.