Understanding your claims processes hold the secret to faster settlements, fewer overpayments, and less rework. With Intellifold, you go beyond dashboards and gain visibility into how claims really flow, so you can act. Reduce inefficiencies or leakage, and delight your customers.
✖️ Regulations like CPS 230 need robust identification, assessment and management of operational risks.
✖️ STP (Straight Through Processing) only works with a subset of straightforward claims.
✖️ Leakage still represents around 7% to 14% of spend at most insurers.
Traditional BI tools only scratch the surface, failing to reveal the root causes of inefficiencies and non-compliance, and they do not support improvement actions and continuous monitoring.
Fragmented and complex data across systems creates blind spots, making it impossible to track cross-departmental processes effectively, or to clearly measure the impact of improvement initiatives.
Unaddressed process bottlenecks and control failures lead to significant operational risks, rework, unnecessary costs, and lost revenue.
Managing insurance claims often means dealing with:
- Prolonged processing times, rework and customer dissatisfaction
- Limited visibility into who does what, and where bottlenecks lurk
- Difficulty automating due to poor data quality and unclear workflows
- Misaligned policy and approval steps, resulting in overpayments or leakage
- Delays in intervention when a claim veers off-course or resolution stalls
These issues compromise compliance, constrain business growth, and erode customer trust.
Think of Intellifold’s Claims Management solution as an X-ray for your claims process. It reveals how each claim journey unfolds, in real-time, across systems and teams.
Financial & Strategic Performance
Quantify leakage and LAE drivers. Forecast ROI and track realized savings.
Operational Excellence & Compliance
Monitor claims in real time. Prevent CPS 230/Code breaches before they occur.
Customer Experience & Retention
Resolve more claims at first touch. Cut complaints and lift customer loyalty.
You’ll be able to:
- Spot delays in approvals, hand-offs, or settlement stages. Fix inefficiencies proactively.
- Pinpoint control gaps, policy misinterpretations, data errors, and deviations. Ensure compliant claims handling.
- Trace the root causes of claim adjustments, reopenings, or missing documentation. Accelerate follow-up and outcomes.
- Quantify the cost of rework and incomplete submissions. Make the right decisions and build customer trust.
- Monitor process metrics and receive alerts when risk thresholds are approached. Manage claims proactively.
- Drive automation intelligently, using RPA and AI with clear visibility into value. Automate what matters.
Gain real-time visibility into every process step, bottlenecks or inefficiency. Our solutions deliver the insights for continuous improvement and compliance.
![[interface] screenshot of software in action (for an ai saas company)](https://cdn.prod.website-files.com/6861eb5cbc40991900a5ee95/689d6f2e43e8f1fcb58763a5_ClaimsManagement_Insights.png)
Use AI-driven analysis, ML and alerts to reduce risk, and automate workflows. Transform your operations with data-driven decisions and measurable results.
- Discover & Assess: Book a call with us to discuss your unique process challenges, compliance needs, and success metrics.
- Implement & Deliver: We connect your source systems, create a first solution, and refine based on your feedback.
- Support & Improve: We provide training, implement continuous monitoring, support process improvement and measure ROI.
✔️ Faster claim resolution ✔️ Fewer touchpoints ✔️ Smarter automation ✔️ Lower risk exposure
With Intellifold, your claims teams, compliance officers and transformation leaders will gain:
Full Transparency
across process, systems, and teams to help streamline execution.
Mitigated Risks
with alerts and the insights when steps are missed or controls are failing.
Improved Efficiency
with bottlenecks and rework actioned, and the steps to implement automation.
Lowered Costs
with benefit scenarios and changes tracked for sustainable gains.
Confident Teams
equipped to take decisions and to drive meaningful, measurable improvement.
Predictive insights & AI
for proactive decision-making and detailed root cause analyzes.
- Beyond dashboards: We go deeper than BI tools, exposing root-cause inefficiencies that static reports simply can’t show.
- Flexible product design: Custom dashboards, analytics, alerts, and deployment options (cloud or private) to suit your needs.
- End-to-end service: We provide software, training, ongoing support, and consulting services to ensure success.
- Expert guidance: Hands-on training ensures your team can use the solution and make decisions confidently.
- Security & compliance: We’re SOC2 Type II certified and have rigorous data governance and security protocols. See our Trust Center for details.
- Fast results: A 90-day transformation guarantee, measurable improvements or we continue working at no cost.
“We already have BI and reporting tools, why add Process Mining?”
Process Mining uncovers root-cause inefficiencies that dashboards and standard analytics miss.
“We have an internal analytics team that does this”
Perfect, we like working with them and show the impact. Our services are flexible and internal capability can speed up delivery.
“Will it work well with our systems?”
Yes, Intellifold seamlessly connects with most claims management systems through API, database, warehouse, or custom connectors.
“Will our team adapt easily?”
Our hands-on training and continuous support drive confident adoption and effective actions for process improvement.
“What about data security?”
We’re SOC2 Type II certified and have rigorous data governance and security controls. See our Trust Center for details.
While Intellifold delivers strong value for organisations with complex, high-volume, data-rich workflows, it's less suitable if:
- There's no event data to mine: If your process isn’t supported by systems that capture process data, we won’t be able to analyse workflows effectively.
- Transaction volumes are too low: Our insights rely on patterns in enough transactions or complex steps to identify issues and inefficiencies.
- Lacking stakeholder support: Real transformation starts with stakeholder support and the organisational readiness to act on insights gained.
If above applies, you may not realise the benefits of Process Mining & AI. Otherwise, we guarantee measurable improvements.
- Our Guarantee: You will gain full transparency into your processes and achieve your first measurable improvement within the first 90 days, or we’ll keep working with you at no extra cost. We stand by our solution’s impact and the value for your business.
- Hands-On Partnership: From day one, we work side-by-side with your process and IT teams from strategy to training. We’re with you every step, making sure the solution fits your needs and your people are enabled to use it effectively.
- Security Assurance: Intellifold is SOC2 certified, and we adhere to rigorous data protection standards and policies.
Whether you're in health, life or car insurance, our Claims Management solution helps you find friction, fix failures, and focus your efforts where they matter.
Book your 30-minute assessment today, and discover how Intellifold can help you accelerate claims processing, and avoid compliance breaches and associated fines.
✔️ Free Assessment & Trial Period ✔️ Tailored Solution & Setup ✔️ Dedicated Training & Support ✔️ Process Improvement Guarantee
Intellifold — Your partner in Process Mining & AI. For better processes, improved efficiency, and empowered teams.
