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Reduce Claims Leakage with ILOG Business Rule Management System (BRMS)
Claims inefficiency is a source of escalating costs. Insurance carriers of all types and sizes are struggling with high error rates, inaccurate and inconsistent assessment of claims, penalty charges due to regulatory non compliance, overhead, fraud and litigation costs. Moreover, customer loyalty and retention is often affected by an insurance company’s ability to process and settle claims in a timely manner.
With ILOG’s business rule management system (BRMS), insurance carriers can reduce their claims leakage while improving the effectiveness of claims processing. ILOG BRMS is used throughout the claims process and across lines of business to automate and add decisioning capabilities to such functions as case assignment, task management, claims adjudication and compliance.
Health, life, and property and casualty insurance carriers rely on ILOG BRMS to:
- Assign claims in real-time based on multiple criteria such as adjuster skill sets
- Automate best practices for claims handling and adjudication
- Trigger alerts and notifications to adjusters and supervisors
- Automatically flag exceptions and identify high-priority claims
- Enforce compliance monitoring by specific country, federal and state regulations
- Identify suspicious claims early in the claims cycle
- Improve speed-to-market by more than 50 percent
- Enhance transparency and obtain audit trails across the claims process
Create flexible, responsive claims systems
ILOG BRMS provides advanced rule management and authoring capabilities designed to empower both business users and the IT organization. It includes features such as permission-based access control, metadata, history management, versioning, a central rule repository, decision tables, a high performance rule engine, business action language for business users with a point-and-click user interface, reporting and a variety of rule maintenance tools.
Insurance carriers can leverage their existing IT investments, including legacy platforms, open technologies and industry data standards such as ACORD XML. Recognized for its ease-of-use and integration, ILOG BRMS supports both real-time and batch processing.
Leading insurance carriers rely on ILOG BRMS
Insurance companies of all types and sizes rely on ILOG BRMS to automate decisioning capabilities across their insurance processes. ILOG clients include leading property and casualty, health and life insurance carriers such as MetLife, TaiPing Life, Vision Service Plan (VSP), Delta Dental, Blue Cross Blue Shield organizations, St Paul Travelers, Zurich and 21st Century Insurance, among others.
Dedicated business and technology support
ILOG provides complete services for consulting, education and customer support. ILOG’s best practices, insurance reference model, templates and methodology, along with professional expert support, help insurance companies build cutting-edge applications faster and with the greatest returns. ILOG consultants work side by side with customers to guarantee their success with ILOG software.
The insurance reference model available through ILOG Professional Services covers all major domains and processes for both non-life and life insurances. It facilitates the speed with which carriers can design and develop their applications, using a common semantic they can leverage across core processes in a service-oriented-architecture (SOA). Moreover, ILOG BRMS supports application integration with other technologies and provides deep integration with many of the leading SOA platforms.
Next steps
Learn more about how ILOG can help you improve operational efficiency and achieve superior ROI:
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