Genpact Claims Manager

Genpact Claims Manager is an agentic, AIpowered claims solution designed to help insurers overcome fragmented ecosystems, manual processes, and slow technology changes. Its autonomous agents orchestrate workflows, streamline decision-making, and enable straightthrough, lowtouch claims handling.

Built for medium and large insurers, the platform provides modular, flexible, and analyticsdriven capabilities that sit on top of existing claims systems to modernize operations without disrupting core platforms. Genpact Claims Manager enhances adjudication accuracy, accelerates cycle times, and offers a seamless endtoend system of engagement supported by advanced automation and realtime intelligence.

By connecting bestinclass applications, orchestrating workflows, and enabling proactive digital interactions, Genpact Claims Manager delivers a futureready claims ecosystem that adapts quickly to evolving business needs—powered by agentic intelligence that continuously improves outcomes.

Agentic Capabilities: Autonomous Intelligence for Modern Claims

Genpact Claims Manager introduces agentic, AI-driven capabilities that elevate operational efficiency and reduce manual workload across the claims lifecycle. These autonomous agents act as intelligent digital co-workers, continuously analyzing, deciding, and orchestrating tasks across systems.

Key agentic enhancements include:

• Autonomous Task Execution
  AI agents independently perform repetitive or rule-based tasks such as data extraction, document processing, or initial coverage validation.

• Proactive Workflow Orchestration
  Agents monitor claim progression in real time, actively identifying bottlenecks, initiating downstream steps, gathering missing inputs, and triggering escalations.

• AI-Driven Decision Support
  Agents evaluate claim severity, risk patterns, policy context, and prior outcomes to recommend or automatically execute appropriate actions.

• Real-Time Ecosystem Interaction
  Agents interact with APIs, thirdparty data sources, internal systems, and partner platforms to keep claims flowing without manual intervention.

• SelfImproving Intelligence
  Through continuous learning loops, agentic components refine their outputs based on user decisions, claim outcomes, and operational data.

These capabilities significantly reduce claim cycle times, improve accuracy, and empower adjusters to focus on highvalue, complex decision-making.

Key Benefits

• Predefined Chassis for P&C Claims
  Accelerates configuration for property adjudication, repair, contents replacement, warranty management, and auto claims.

• Digital Ecosystem Platform
  Provides a robust platform for orchestrating interactions between multiple systems and applications.

• Published APIs and Integrations
  Offers published APIs and existing integrations with industry-leading solutions.

• Dynamic Operations Management
  Enables dynamic management of operations ensuring efficient workflow execution.

• System-Driven Workflows
  Supports workflows that enable SLA tracking, monitoring, and compliance enforcement.

• StraightThrough Processing
  Facilitates straightthrough processing, reducing manual intervention.

• Advanced Analytics
  Integrates analytics for early identification of claim severity risks.

• Flexibility and Speed to Market
  Accelerates time-to-market for new solutions through modular and configurable components.

• Modernization of Claim Operations
  Leverages digital and agentic technologies to improve operational efficiency.