Claims Automated Rules Engine (CARE)

A risk triage and assessment automation engine to increase caseload capacity, develop staff, and improve outcomes

Increase caseload capacity, develop staff, and improve outcomes with Swiss Re’s Claims Automated Rules Engine (CARE).

With CARE, you can access 160 years of global risk management experience now embedded into hundreds of multi-line assessment rules.  These rules can be used to automate claim risk scoring, triage new cases, and guide examiners through assessment and decisioning.

Embed CARE into your existing claims ecosystem or combine it with other offerings in our solutions suite for a more holistic transformation of your claims processes and systems. 

Using CARE

Discover how CARE can help you improve the efficiency and accuracy of your claims processing.

Impact Automate claims processing and improve decision accuracy

  • Increase caseload capacity

    Avoid increasing headcount by unlocking additional capacity from existing team and reducing claims in progress.​

  • Develop staff and avoid talent pipeline constraints

    Step-by-step claims assessment guides examiners through complex cases, developing new and existing talent.

  • Improve outcomes and reduce risk

    Our fully auditable engine protects your bottom-line from invalid claim payments, legal challenges and regulatory audits.

Key Features Configurable, product-specific rules built on 160 years of experience

Further Information

Off-the-shelf, but configurable risk-based rules

Assists claims experts in making claims decisions by assessing the nature and quality of claims evidence against a set of configurable risk-based rules.

Access to knowledge and expertise

Future-proof your claim operation from retirement brain drain by providing access to Swiss Re’s extensive global claims knowledge via industry leading rulesets used to automate, explain, and guide examiners to consistent decisions.

Fully auditable

Ensures a consistent, repeatable, transparent and accurate assessment on every claim, every time.

Tags

Life & Health Claims Management Solutions

Increase efficiency, lower operating costs and elevate the customer experience with claims management automation.

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