High-value processes for Claims & Benefits

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Why automation for Claims & Benefits?

Claims processes represent the ‘moment of truth’ for insurers and their customers. The same goes with the information related to benefits. Most claims and benefits information are currently discussed by phone. Call centres saturate quickly, especially during surges, creating high operational costs and waiting on hold for customers.

Automation of high-value processes for Claims & Benefits

Actual use cases of automation of high-value processes for Claims & Benefits include:

  • Pre-authorisation of medical claims
  • First Notice of Loss (FNOL)
  • Straight Through Processing (STP)
  • Benefits valuation




Reduce operational costs

Open up to significant savings by embracing conversational process automation of high-value processes


Scale your expertise

Through the Function Manager, leverage pre-built integrations to leading core platform and RPA providers

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Increase customer retention

Raise the standard of your customer support with 24/7/365 available self-serve delivering outcome in less than 3 minutes on average


See it in action

Request a demo with our sales team to get the solution overview. 

Increasing performance with Conversational Process Automation (CPA)


Collect & validate data

Allow your customers to notify their loss straight through Spixii Expert Chatbots at their most convenient time whilst sparing them the hassle of queuing on the phone


Analyse risk

Perform or improve existing the fraud check and claim triage through Spixii Experts Chatbot by identifying “fast track” to process and complex claims to route to trained claim handlers


Automated decisions

If the completed conversational process triggers all the green flags of your business logic then automated decisions can be done at scale in a secure and repeatable manner

Available for major insurance products

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Life & Health

Top features

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Media upload

Using the Spixii secure content management system, your customer can upload media such as photo, invoice and video avoiding unnecessary back and forth

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DVLA recognition

Validate user information upfront by connecting with APIs able to check existing number plates

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Customer experience module

Measure your customer satisfaction rate using CSAT, TNPS or CES and gather feedback to understand how to improve your solution

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User input validation

Collect more accurate customer details by introducing specific validation rules for email, postcode, telephone number etc.


See how Zurich UK  launched their first FNOL claims chatbot in just 5 weeks leveraging Spixii CPA and how it managed to absorb the Beast from the East surge. 

Embracing Conversational Process Automation (CPA)

Spixii CPA leverages insurance process expertise lacking by generic chatbot providers to improve customer-facing interactions and complete insurance companies’ automation platforms (e.g. RPAs).

Explore our end-to-end joint solutions

Our solution partners

From core systems to RPA, Spixii partners with the leading technology providers to offer end-to-end digital solutions.

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Spixii partnered with Appian to offer insurers an embedded solution that enables straight-through-processing (STP) and no-touch claims automation for P&C, Health and Life insurance.

Find out more →


Socotra provides open APIs, a product-agnostic data model, and out-of-the-box capabilities to manage the entire policy lifecycle, making insurance innovation faster, easier, and more affordable.

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Blue Prism develops leading Robotic Process Automation software to provide businesses with a more agile virtual workforce. Spixii complements it through the automation of conversations.

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Trusted by top-tier insurance leaders


How to implement Spixii Claims

As a pure B2B2C solution, Spixii believes in the value of reconciling customer and business needs. Once live we offer premium hands-on support for 6 weeks accelerating the benefits gained by your business thanks to the Spixii Claims Solutions.

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Start the conversation

Discuss your business needs with the Spixii team and discover how the Spixii CPA Platform can accommodate them.