Claims Management Software

FAQ

• What is Comarch Insurance Claims?

  Comarch Insurance Claims is a comprehensive, end-to-end claims management system designed for life, pension, and health insurance. The solution fully automates the entire claims process - from First Notice of Loss (FNOL) through decision-making to benefit payment - helping insurers increase efficiency, reduce costs, and deliver a superior customer experience.

• Who can use Comarch insurance claims management software?

  The platform is designed for insurance companies of all sizes handling life, pension, and health insurance claims.

  It supports a multi-channel claims ecosystem, including:

  • distributors
  • call centers
  • self-service customer portals.

  This enables seamless collaboration across all stakeholders and ensures consistent, transparent claims handling.

• How does Comarch claims processing software speed up claim handling?

  Automation and intuitive interfaces reduce manual work, allowing insurers to process claims up to 40% faster. Validation rules, automated calculations, and integrated workflows streamline decision-making and payment processing.

• How does Comarch Insurance Claims reduce costs?

  The system helps insurers optimize costs by:

  • monitoring payment and benefit limits
  • preventing overpayments
  • supporting fraud detection mechanisms
  • ensuring accurate and compliant benefit calculations.

  Automated validations and controls lead to lower claim ratios and reduced operational expenses.

• How does Comarch claims management software handle payments?

  Comarch Insurance Claims supports automated benefit payments, including:

  • annuities
  • capital payouts
  • multi-stage payments.

  Payments can be processed in two steps, and are fully integrated with accounting and home-banking systems, ensuring accuracy, compliance, and auditability.

• How does the software manage documents?

  The solution automates the entire document lifecycle:

  • generation and handling of incoming and outgoing documents
  • automated correspondence with customers (decisions, requests, reminders)
  • configurable document checklists
  • secure archiving for audit and regulatory purposes.

  This ensures full transparency, compliance, and reduced administrative burden.

• Can the system handle complex claims processes?

  Yes. System easily handles complex claims scenarios, offering functionalities such as:

  • claim reopening and corrections
  • complaint handling
  • technical provisions and reserves
  • KPI dashboards and productivity analytics.

  The system supports efficient processing of large claim volumes while providing full operational insight.

• How does Comarch Insurance Claims integrate with other systems?

  Built on an SOA-based, API-ready architecture, Comarch Insurance Claims integrates smoothly with:

  • accounting and banking systems
  • policy administration systems
  • front-office and customer-facing solutions.

  It can be seamlessly combined with Comarch Digital Insurance to deliver a unified, omnichannel claims journey.

• Is Comarch insurance claims processing software scalable and secure?

  Yes. The platform is designed to:

  • handle thousands of claims monthly
  • support multiple currencies and languages
  • meet regulatory and compliance requirements.

  Its robust architecture ensures high security, reliability, and performance even under peak workloads.