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Importance of RPA in Insurance Claim Processing and Why it Works so Well!

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Importance of RPA in Insurance Claim Processing and Why it Works so Well!

RPA in insurance claims processing connects disparate applications and works with legacy systems to automate claims processing without causing any disruptions. The biggest benefit of using RPA for claims processing is that it ensures up to 99.5% data accuracy, organizes information, and makes it easy to migrate or navigate data across different systems. Automatically generated compliance reports, live audits, seamless integrations, and dashboard analytics are some of the various perks associated with using rpa insurance claim software.

Importance of RPA in claims processing

Insurance industry is adopting Robotic Process Automation (RPA) technology in their operations to speed up claims filing processes and ensure that regulatory compliances are met while auditing insurance trails. RPA is an emerging technology that can automate various aspects of the insurance process lifecycle and claims companies use RPA tools to improve rates of customer satisfaction and business efficiency. 

A McKinsey study reveals that RPA is used by the insurance sector for automating various operational processes and over 25% of the industry is expected to use automation workflows for processing claims, underwriting tasks, and other insurance filing activities by 2025. RPA helps insurance employees focus on more productive tasks and spend less time doing manual data entry work when handling policy documentation. 

What makes RPA powerful is that it can be deployed with other technologies and works alongside analytics tools.

RPA use-case in claims processing

RPA automation can reduce the number of hours spent per month on processing insurance applications and save time during claims filings. Besides making broker communications efficient, using RPA tools can help businesses streamline claim filing updates and ensure policyholders renew their insurances on time. RPA is used in the following ways for insurance claims processing below.

1. Underwriting tasks and pricing reviews

RPA tools are used by insurance companies to analyze the credit profiles of applications and assess what their risk levels are for specific claims policies. Underwriting tasks involve collecting data about customers, running income verification checks, and to review their track record for making payments on time. This helps companies provide the best offers to clients and set the right pricing on their insurance policies.

Customers are on the lookout for getting the best rates on insurance policies from businesses and RPA tools help in pricing comparisons. It makes researching the ideal insurance policies less time consuming for clients as well.

ROI on underwriting

  • Zero errors and insurance automation
  • 100% data accuracy and integrity
  • Improved processing speeds
  • Up to 80% faster turnaround times

2. Streamline vendor onboarding

RPA technology is used for automating transactional processes and mapping claims distributions when it comes to handling multiple vendors. Many areas of claims processing like accounting, tax and regulatory compliance, settlement of dues, credit risk assessment and analysis, administrative tasks, etc., are automated using RPA in insurance claims processing

ROI on automation:

  • Improved cash flow analysis
  • Well-managed expense ratios
  • Reduced cycle times
  • Smoother communications with third parties 

3. Ensures legal and regulatory compliance

The insurance industry is governed by strict laws and has to follow legal regulations for being compliant with policies. RPA enables users to do regular audits of their documentation and ensure data is fact-checked and accurate. 

ROI on legal compliance:

  • Reduction in backlogs of requests (by up to 4,000 a month or greater)
  • Faster handling times
  • Improved client and customer satisfaction rates

4. Store and manage customer data

RPA tools help users collect, store, sort, and organize all types of customer data, making sure the information is easily accessible. RPA technology assists clients in categorizing and labeling data from unstructured sources and delivers meaningful insights through further analysis. With RPA, you can eliminate repetitive tasks involved in claims processing by up to 80%.

ROI on customer satisfaction:

  • Validate and verify customer data
  • Bulk process applications in different formats
  • Process credit limit or raise requests
  • Improved business decision making and better audit trails

Benefits of RPA in claims processing 

There are numerous benefits to using RPA in claims processing. For starters, automated insurance claims processing does not need human intervention and speeds up transaction rates. The quality of data is ensured and machine learning algorithms allow inspectors to quickly process and resolve various issues that may arise during claims filing. Here is a list of benefits RPA offers to insurance agents and businesses.

1. Automatically extract data in different formats

Robotic process automation insurance claims technology is used to automatically extract different data types from relevant documentation. Data entry professionals face a tough time entering data in a myriad of structures and formats. RPA takes care of this by automatically recognizing visual layouts, labeling data, and entering into claims processing systems.

2. Faster turnaround times

RPA helps in eliminating data redundancy, duplicate entries, and ensures faster turnaround times when it comes to insurance invoice processing. Sales teams can perform productive tasks and automate activities such as manual data entry, end-to-end claims processing, and improve customer satisfaction rates by ensuring faster turnaround times for insurance claims applications.

3. Recruit and retain clients

RPA solutions can streamline recruitment processes considerably since these tools make scanning customer profiles easy. It can reduce the stress or risk factor for every company as RPA tools conduct rigorous reviews and audits of insurance applications. In the long run, this leads to better customer relationship management, improved screenings & assessments, and streamlined administration.

4. Process refunds quickly

Sometimes customers want to cancel their claims filings or stop their insurance policies. They will seek refunds then and RPA is critical in ensuring customers do not face delays in getting their money back. How fast businesses close insurance policies and process customer refunds impacts their overall reputation.


Whether you have to extend insurance claims dates, hire new employees, or streamline existing workflows, RPA can be invaluable in speeding up your claims processing. You don’t need to worry about making recorrections when processing insurance data and many businesses automate cumbersome back office operations using RPA software these days.

Suggested Case Study
Automating Portfolio Management for Westland Real Estate Group
The portfolio includes 14,000 units across all divisions across Los Angeles County, Orange County, and Inland Empire.
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Pankaj Tripathi
Written by
Pankaj Tripathi

Helping enterprises capture data for analytics and decisioning

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