High-value processes for

Claims & Benefits

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Why automation for Claims & Benefits?

Claims are often complex and stressful for customers, requiring multiple steps and manual checks.
Conversational automation simplifies the process, making claims faster, clearer, and always accessible.

  • Call centres struggle to scale during surges, creating long wait times
  • High operational costs are driven by manual processes coming from phone or emails
  • Customers face friction and delays when they need outcomes fast

Automation of high-value processes for Claims & Benefits

Automation of claims and benefits enables faster, more efficient handling of critical customer events through end-to-end digital processes.

  • Pre-authorisation of medical claims for faster approvals
  • First Notice of Loss (FNOL) captured instantly through guided journeys
  • Straight-through processing (STP) and automated benefits valuation for faster payouts

Benefits

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Reduce operational costs

Reduce processing time with the validation of data captured and medical codes mapping.

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Scale your expertise

Improve customer satisfaction by enabling decisioning in your self-service.

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Increase customer retention

Lower operational costs by fully automating key requests in less than 2 minutes.

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See it in action

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

Better outcomes for everyone

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Collect & validate data

Let customers report a loss instantly at their convenience, without waiting on the phone.

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Analyse risk

Improve fraud checks and claim triage by fast-tracking simple cases and routing complex ones.

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Automated decisions

When business rules are met, automated decisions are delivered consistently at scale.

Used for a variety of financial and insurance products

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Travel

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Motor

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Property

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Life & Health

Top features

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Media upload

Customers can upload relevant medias to avoiding back and forth.

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DVLA recognition

Validate user information upfront e.g  number plates.

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KPIs

Measure what matters to your business and receive daily updates.

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Relevant inputs

Collect context using smart buttons and dropdowns.

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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. 

Conversational Process Automation

Spixii CPA leverages expertise in regulated processes that generic chatbot providers lack to improve customer-facing interactions. 

Explore our end-to-end joint solutions

Our solution partners

Spixii integrates with leading core platforms to deliver end-to-end workflows.

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Spixii partnered with Appian to offer businesses an embedded solution that enables straight-through processing (STP) of claims for P&C, Health, and Life insurance.

Find out more →

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

Find out more →

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Blue Prism develops leading Robotic Process Automation software. Spixii complements it through the automation of conversations to create end-to-end self-service.

Find out more →

Trusted by top-tier insurance leaders

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How to start using the Spixii platform


As a SaaS platform, you can quickly set up your account and start building high-value processes independently or with expert support, with dedicated onboarding and hands-on guidance to help you get the most from analytics and platform features.

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Start the conversation

Discuss your business needs with us, and let's share experiences.

Explore how Spixii CPA Platform accelerates automation of high-value processes.