Connected Claims Features

Appian Connected Claims offers connection capabilities with Amazon Comprehend, which is a natural language processing (NLP) service that uses machine learning to find insights and relationships in text. If you have Amazon Comprehend services set up, you can integrate them into your Connected Claims solution. Allow users to detect the text language, extract key phrases, places, people, brands, or events, identify the entities in the text and use them to map to customers and products, understand the sentiments of a text snippet, and automatically organize a collection of text files by topic. This integration will also allow you to train the custom classification on your use cases and use custom entity recognition to identify the learned entities.

Appian Connected Claims offers connection capabilities with Amazon S3 (Amazon Simple Storage Service). This means if you have Amazon S3 services set up, you can integrate them into your Connected Claims solution. Allow users to access your S3 objects directly from the solution and upload documents to a S3 bucket with server-side encryption and a Public or Private configuration.

Configure rules to manage claim assignments

Create and manage the claim journey (workflow) for different lines of business and add relevant process models to each claim journey.

Complete data entry tasks associated with processing claims. Review, approve, or deny logged claims, work orders, payment tasks and field inspections for claims assigned to you.

View a complete list of customer records and key metrics that provide a snapshot of the active customers in your claims pipeline on the CUSTOMER tab. Easily view any cases and claims that are open for the customer. Drill down into a specific customer to view relevant details and update the customer record.

Appian Connected Claims offers connection capabilities with DocuSign. If you have DocuSign services set up, you can integrate them into your Connected Claims solution to capture your customer's electronic signatures on important claims documentation. This integration requires you to have your own DocuSign account.

Appian Connected Claims offers connection capabilities with Google Cloud AutoML. If you have ave your own Google Cloud AutoML account and services set up, you can integrate them into your Connected Claims solution to enable AI and machine learning capabilities. Use Google’s AutoML service in your Connected Claims solution to build, train, and predict on custom image, text, or translate models and capture model details including metadata about the type of model.

Appian Connected Claims offers connection capabilities with Google Cloud Translate. If you have your own Google Service account and Google Cloud Translate services set up, you can integrate them into your Connected Claims solution to allow text translation and language detection. Dynamically translate between thousands of language pairs using the power of Google’s pre-trained neural machine translation.

Open Connected Claims and navigate between the 4 main pages: HOME, CUSTOMER, TASKS, and CONFIGURATION to access the records and tasks you have permission to view. From HOME, access the insurance modules you need to process the claim through the entire claims lifecycle.

View and update existing lines of business, or add a new line of business to your organization's claims process.

Access and view current insurance & claim articles and news for a specific industry.

Configure and manage dynamic questionnaires and surveys that exist throughout the claims process.

View payment information for a specific claim made during the claims process. Add recovery payment details for a specific claim.

After viewing the details for a specific claim and identifying missing information, use the Request for Missing Information feature to select the information you want the insurer to submit and send the request to the insurer via an automated email.

Appian Connected Claims offers connection capabilities with Salesforce. If you have Salesforce services set up, you can integrate them into your Connected Claims solution to generate revenue faster by converting leads to customers. Through the seamless integration of Salesforce's sales opportunity system you can capture and view lead data to generate, qualify, manage, and route them to your sales teams. This integration requires you to have your own Salesforce account.

Appian Connected Claims offers connection capabilities with SurveyMonkey. If you have SurveyMonkey services set up, you can integrate them into your Connected Claims solution to allows users to create and initiate surveys through Connected Claims. Get all of your survey details in one centralized location, including contact data and list for all users, survey responses, survey trends, and more.

Appian Connected Claims offers connection capabilities with Twilio Utilities. If you have Twilio Utilities services set up, you can integrate them into your Connected Claims solution to add voice, chat, and SMS messaging capabilities to the solution using the Twilio service. Provide your customers with multiple ways to communicate with you. Use your customer data to track all of your customers interactions. This integration requires you to have your own Twilio account.

View of all the relevant information about a case, including case details and notes, litigation details, payment details, and much more. Users with access can also manage case documents, submit requests for missing information, and respond to clients.

Manage field service workers by updating, adding, or deleting a field service worker record.