How Claims Processing Transforming in the Banking Sector

Financial Tech Review

CIO Review
4 min readSep 14, 2020
Financial Tech Review

4 Ways on how Big Data is Transforming:

Big data is a set of collective information based on human behavior and trends, evaluated through databases over a long time. These data enables banks to understand people’s needs and expectations while enhancing their system and improving customer relationship.

The following are four banking industry impacted by the use of Big Data:

Payment Fraud Detection and Investigation

With the implementation of new technology in banking, cybercriminals also create new ways to commit fraud. Big data installation and utilization have made it simpler for banks to trace the fraud and where it is being committed without delay.

Counterparty Credit Risk Management

Banks need to assess agreements, prevent risks of financial damage when they meet new investors, and make new financial agreements. Previously, this process used to be difficult due to inadequate information needed on individuals.

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4 Ways on how Big Data is Transforming the Banking Sector | Financial Tech Review

Big data offers a thorough background check on the individuals where banks can make informed decisions. It enables them to understand how things can benefit them or be wrong for the industry.

Contact Centre Efficiency and Problem Resolution

Big data can help banks provide answers to clients when they raise questions that can only be answered by analyzing the database. This automatic reply solves the customer’s inquiry quickly without letting them wait for a long time.

By entering a client’s name, banks are provided with essential details, increasing the satisfaction level for customers and creating a loyal client pool who can depend on the bank.

Optimize Offers and Cross-Sell

Big data offers personal assistance and enables banks with detailed client information to create direct and personalized plans. It can analyze and assess the situation and deliver results based on the expectation of their clients.

By automatically providing customers with what they need, banks can build their reputation and help attract new clients and retain old ones.

Financial Tech Review

4 AI Wonders Striding over:

Technologies are now becoming intelligent entities in themselves, thanks to Artificial Intelligence (AI). As a result, the interaction between machines and human beings is also taking a more natural overtone. The technology has improved the claims management process in the insurance sector by making it robust, faster, and accurate. AI is making a significant impact on today’s businesses. AI is gaining adhesion as an everyday tool for automating business methods in the insurance sector.

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Providers endeavor to manage big data better and develop responsiveness to customers to drive income and achieve more significant overall results. Insurance companies have a lot to augment from investing in AI-enabled technology that can automate the scheduling of executive-level tasks. It also enhances service quality by helping operators make the right decisions and conclusive judgments. There are few ways how AI is paving the way to an efficient claims processing.

• Rapid End-to-End Automation

Nowadays, most of the insurers are investing in digital solutions to simplify business methods and increase productivity. The recent claims’ processing requires a notable amount of manual effort, but the approach of an application still necessitates matching the request with consumer information that resides in multiple systems and databases. Insurers can eliminate much of the manual and repetitious nature of the claims process by leveraging AI for businesses to achieve end-to-end automation better. The technology helps integrating information exchanged among disparate systems for hassle-free claims handling and accelerated straight-through processing. It allows the insurers to shrink the claims cycle while intensifying the customer experience and cutting down on costs.

• Better Insightful Response

Customer is the king in today’s marketplace. Insurance customers want a hassle-free interaction across multiple channels, rapid claim processing, and the strength to do their research when desired. The more significant is the gap between consumer expectations and the level of the consumer experience is delivered when the processes remain manual and unattached. AI helps in creating an omni-channel experience for all stakeholders associated in the claims process, from the contact center personnel to the claims agent. It advances the flow of information between these parties and incorporating multiple data sharing and communication channels.

• Fraud Prevention

Fraudulent claims cost insurance businesses billions of US dollars annually. Fraud analysis is usually done after it has taken place. Some insurers employ hundreds of professionals using novel technologies, and network analysis means, to help prevent fraud. AI utilizes pattern-spotting, intelligent automation, and self-learning abilities to help recognize potential fraudulent pretenses. When its contextual understanding abilities are integrated with the ability to connect with other systems, insurers can sort through vast quantities of data. It can also monitor the complete communication records of each consumer to quickly detect anomalies and segment cases that pose a tremendous risk of fraud before befalling.

• Priming the Next Generation of Claims Agents

Many insurers are striving to leverage the experience of their prevailing workforce while bringing on new workers in a controlled, prolific manner. Insurance providers AI-based solutions can be utilized to pass down relevant knowledge from one generation of agents to another. By creating a knowledge shift system, insurers can instantly train inexperienced agents while reducing the impact on cost and consumer satisfaction. It helps in optimizing workflows for the handling of claims so agents can appropriately be matched with tasks and roles based on their fields of expertise.

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