What is omni:us?

omni:us provides an advanced AI solution, the Digital Claims Adjuster, focused on automating the entire insurance claims lifecycle. This platform utilizes artificial intelligence to power claims decisions and optimize workflows, aiming to significantly boost customer satisfaction while simultaneously reducing operational process costs. It enables insurers to achieve straight-through processing for a large volume of claims, freeing up human adjusters to handle more complex cases.

The system integrates seamlessly with existing insurance core and legacy systems through standard connectors, accessing necessary policy and claims data. It incorporates pre-built reference claims processes for rapid deployment and features a comprehensive, AI-driven claims decision catalogue. This catalogue employs pre-trained AI and rule models to automate settlement decisions for various claim types, including high-frequency lines like household, motor, and liability, while flagging complex issues for human review. The platform also includes features for identifying potential recovery claims.

Features

Digital Claims Adjuster: AI-powered claims decisions and workflows for end-to-end automation.
Reference Claims Processes: Out-of-the-box processes for rapid implementation and optimized claims handling.
Connectors: Facilitate seamless integration with major core and legacy insurance systems.
Claims Decision Catalogue: Pre-trained AI & rule models automate complex settlement decisions and flag exceptions.
AI-Powered Recovery Detection (Leakage Services): Identifies potential recovery claims without requiring integration initially.

Use Cases

Automating First Notice of Loss (FNOL) processing.
Achieving end-to-end automation for high-frequency insurance claims (e.g., Property, Motor, Liability).
Reducing manual intervention and operational costs in claims departments.
Improving claims processing speed and enhancing policyholder satisfaction.
Empowering claims adjusters by handling routine tasks, allowing focus on complex cases.
Identifying and managing potential leakage through recovery claim detection.
Integrating AI capabilities into existing insurance technology stacks.

FAQs

What types of insurance claims can omni:us automate?

omni:us automates high-frequency lines of business including Household/Property (Fire, Storm/Elemental, Tap Water, Glass Breakage, Burglary/Theft) and Motor (Fully Comprehensive Coverage, Partial Comprehensive Coverage, Glass Breakage, Vehicle Liability), as well as Liability claims (Personal Liability, Home/Landowner). It focuses on low to medium severity claims.
How does omni:us integrate with existing insurance systems?

omni:us provides standard connectors for seamless integration with major core and legacy insurance systems, allowing access to relevant policy and claims information for end-to-end automation.
What results can insurers expect from using omni:us?

Insurers using omni:us can expect significant improvements, including up to 35% reduction in process costs, increased straight-through processing rates, enhanced customer satisfaction, and improved efficiency for claims adjusters.
Does omni:us completely replace human claims adjusters?

No, omni:us automates low to medium severity claims and handles tedious tasks for more complex ones. This allows human adjusters to focus their expertise on damage assessment and complex case handling, rather than replacing them entirely.