Caren - Intelligent Care Pathways

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Claims Declaration

Reference for building the Care Pathway:

Association of Insurance Supervisors - CH

In compliance with the agility and transparency standards required by entities such as IAIS and exemplified in public documents of leading insurers such as Lloyd's of London, the Claims Declaration establishes a robust protocol for event notification.

Inspired by international "claims processing" practices, this model aims to ensure that claim communication is carried out quickly, clearly, and empathetically, ensuring that policyholders receive the necessary support and that claim analysis follows rigorous and objective criteria, in accordance with the best guidelines in the life insurance and reinsurance market.

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Care Pathway for Claims Declaration

Following the best claims processing practices established by the International Association of Insurance Supervisors (IAIS) and institutions such as Lloyd's of London, Caren's Claims Declaration uses an intelligent system to assess policyholder data. The platform integrates information, generating alerts that allow the identification of relevant issues. This protocol ensures that, when triggering the policy, the policyholder is assisted quickly, clearly, and empathetically, with rigor in the analysis of reported events.

📋 Steps:

Claims Report

Pending Issues Assessment

Decision Making

✅ Main objectives:

✔ Ensure fast and accurate notification of events that trigger the policy.
✔ Guarantee transparency and rigor in claims analysis.
✔ Provide immediate and adequate support to policyholders during the process.
✔ Maintain a high-quality standard in claims processing.

📌 Expected benefits:

✔ Quick response to adverse events, minimizing impacts on the policyholder.
✔ Consistent and empathetic support throughout the claims process.
✔ Standardized processes that increase trust in the policy.
✔ Compliance with the best global claims processing practices.

⚡Test now:

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