Insurance Claims Automation
Straight-through claims over the core you already run, intake to decision.
Add a straight-through processing layer to your existing Guidewire or Sapiens core, an owned application built on nVisionIT.Framework. It automates claims intake, triage and decisioning, reuses our fraud-scoring and document-reading components, and records the reason for each decision so it can be explained under POPIA and the Policyholder Protection Rules.
- ISAE 3402 independently assured
- Level 2 B-BBEE
- POPIA & Mauritius DPA aligned
- Offices in Centurion and Ebene
Most carriers straight-through-process only a handful of claims
Manual claims handling is slow and costly, and straight-through-processing rates at most carriers sit in the single digits. A decisioning layer over your existing core lifts that, without replacing the core.
Why claims cost more to handle than they should
- Manual FNOL and triage → slow, costly claims handling
- Low straight-through-processing → backlogs and poor customer experience
- Fraud caught late → claims leakage and loss
- Core-replacement projects → high risk and cost
A decisioning layer over your core
Owned on nVisionIT.Framework, extending Guidewire or Sapiens, reusing components proven in other accelerators.
Claims intake & triage
Automated FNOL capture, classification and triage on your existing core.
Straight-through decisioning
Rules- and AI-based decisioning that settles clean claims touchlessly.
Fraud scoring
Reuses proven financial-crime scoring to flag suspicious claims early.
Document processing
Reuses the Finance Document Automation engine for claims documents.
Explainable & compliant
POPIA- and PPR-aware explainability for every automated decision.
Extends what you already run
It layers over Guidewire or Sapiens, so the core stays where it is.
How an accelerator engagement runs
Each accelerator is IP we own and maintain. We deploy it on premises, in your own cloud or as a service we host, and you start from working software.
Prove the value
A costed roadmap, a working prototype, the target architecture and a measured value baseline, in 2 to 4 weeks.
Bill as delivered
We deliver and invoice per milestone for work delivered and reviewed; the budget is refined with you each step.
No-penalty exit
Stop at any milestone boundary, work done is billed, nothing more.
Yours, where you choose
Deployed on your premises or in your own cloud, or hosted by us in South Africa or Mauritius. You keep control of your data and your deployment.
What straight-through handling delivers
Higher STP
More clean claims settled touchlessly, end to end.
Faster settlement
Shorter cycle time from first notice to decision.
Less leakage
Earlier fraud detection and consistent decisioning.
Layered over Guidewire or Sapiens
Microsoft-first, API-first, Zero Trust and Responsible AI, an nVisionIT-owned application on nVisionIT.Framework, bilingual (English/French), and deployed on your premises, in your own cloud or in an environment we host, to meet your data-residency requirements.
Take the manual handling out of claims
Book a briefing. We will scope a Sprint 0 that ends with a working prototype you have used, measured against a baseline we agree with you.