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Claims Automation for a P&C Insurer

About the Client

The client is a property and casualty (P&C) insurer managing claims through fragmented and manual processes. Limited automation and disconnected systems slowed claims processing across document submission, tracking, approvals, and fraud screening. The insurer needed a secure solution to streamline claims operations. To enable the transition, the insurer partnered with Zymr.

Key Outcomes

Claims Processing Reduced From Weeks to Days
35% Improvement in Customer Satisfaction

Business Challenges

The insurer relied on manual claims workflows, making document submission and tracking time-consuming for users. Limited automation increased administrative effort and slowed claim progression.

Disconnected approval workflows created process bottlenecks. Claims requiring settlement review moved through manual steps, increasing turnaround times and reducing visibility into claim status.

Fraud screening was difficult to manage consistently without an integrated workflow. Limited connectivity with core insurance systems also created data silos.

The insurer needed a secure claims automation solution to digitize workflows, accelerate processing, improve customer experience, and reduce costs.

Business Impacts / Key Results Achieved

Zymr helped the insurer modernize claims operations through a secure claims portal and automation engine connecting workflows and insurance systems. This improved processing speed, efficiency, customer experience, and cost management.

  • Claims Processing Reduced From Weeks to Days
  • 35% Improvement in Customer Satisfaction
  • $2M Annual Operating Cost Savings
  • Streamlined Claims Document Submission
  • Integrated Claims Tracking and Settlement Approvals

Strategy and Solutions

Zymr implemented a secure claims portal and automation engine designed to connect end-to-end claims processes and improve efficiency.

  • Digital Claims Submission
    Enabled secure document submission through a centralized claims portal, reducing manual intake and administrative effort.
  • Claims Tracking and Workflow Automation
    Digitized claims tracking and automated workflow steps to improve visibility and accelerate claim progression.
  • Settlement Approval Workflows
    Streamlined settlement reviews and approvals through automated routing.
  • Fraud Screening Integration
    Connected fraud screening capabilities with claims workflows to support consistent and efficient screening.
  • Core Insurance Integrations
    Integrated the claims platform with core insurance systems to improve data connectivity and reduce silos.
  • End-to-End Claims Automation
    Connected submission, tracking, approvals, fraud screening, and integrations within a unified claims workflow.

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