Technology can play an instrumental role in restructuring claims processing and compliance practices for insurance firms.

FREMONT, CA: Claims processing and compliance have always been challenging for insurance companies. Insurance firms spend too much time dealing with day-to-day compliance issues, thereby leaving less space for business development processes. According to a report, one-third of the surveyed firms spent at least one day per week trying to reform their systems according to the changing regulations. Claims processing is another aspect that consumes a fair share of firms’ time and workforce. Most of the insurers are still utilizing paper-based claims that are not only time consuming but also inefficient. Technological advancements can assist insurance firms immensely with compliance as well as claims processing. Here are the key strategies that can enable the insurance firms to maintain compliance along with effective claims management proceedings.

Technology-Driven Claims and Compliance

Electronic transfer of information is a better alternative to the conventional practice of handling paperwork and files manually. For instance, an application that supports claim engagements will offer a safer platform to the insurance firms while eliminating the chances of errors prevalent in manual claims processing. Further, a dedicated software application for claims processing and compliance will significantly optimize the processes and save crucial time for the insurance firms.

Electronic Audits

It is essential for the insurance companies to conduct regular audits of their claims processes amidst increasing scrutiny of the insurance processes by the regulatory bodies. However, such audits can be expensive as well as time-consuming for the insurance firms unless they have deployed the latest technologies for the purpose. For instance, artificial intelligence (AI) and robotic process automation (RPA) can enable insurance firms to monitor thousands of claims and identify missing data or information that human auditors might have overlooked.


Compliance is an ongoing process. Continuous monitoring and testing are critical for claims as well as for compliance. Thus, automation of the processes will enable the firms to utilize their resources for productive purposes, such as designing future-oriented risk management practices.

Thus, insurance firms can benefit immensely from the above-mentioned strategies and significantly optimize their claims processing as well as compliance issues.