Incoming and outgoing claims management and automation with EverSuite

Incoming and outgoing claims management and automation with EverSuite

MAIF

5th French insurer of individuals and damages insurance and largest insurer of associative sector, MAIF implements EverSuite to optimize its management of claims. The Enterprise Content Management (ECM) solution of EVER TEAM enables the storage, indexing, search and security of insurance claim documents. It allows its 12 claims management centers to speed up the processing of over 2.6 million incoming correspondences per year.

Challenges

For the management of complex claims from its clients, MAIF has twelve centers across France, to which all documents and supporting evidence for the processing of files are transmitted. Every year, the Rennes management center for example receives over 1 million pages. Claim managers rely on these documents to answer client phone calls and process their cases.
To share information between different stakeholders, fully automate its operations and reduce response times, MAIF was looking for an open, modular and unified Enterprise Content Management (ECM) solution.

Solution Description

In order to implement its document capture strategy, MAIF has adopted a three-stage approach: capture, storage and management of flows.
MAIF chose EverSuite from Ever Team according to its functional and technical richness.
EverSuite first and foremost meets the functional needs already defined by MAIF, but is also equipped to deal with any requirement that may yet arise.
Thanks to EverSuite, it was possible to automatically reconstitute the electronic file related to the customer claim by centralizing the storage, indexing and search of scanned documents, in their different formats. The detailed management of access rights and user profiles also guarantees document security.
To facilitate the integration of the ECM solution with the claims processing application and other components of its IT system, MAIF has also opted in favor of open technologies. The maturity of EverSuite’s platform was therefore a decisive factor, with its service-oriented architecture (SOA) based on Java, J2EE, XML and Ajax technologies in a Unix environment.
EverSuite also offered MAIF various facilities for optimizing the transfer of image flows over low bandwidth networks (low / high resolution, on-the-fly conversion etc…).

Benefits of the Solution

Due to this Implementation of EverSuite, MAIF was able to achieve the below objectives:

Reduce maintenance costs
Optimize data sharing between all management centers
Reduce time to answer client’s requests and reduce the outgoing phone call costs: MIAF’s managers can now have direct access to the captured elements of the claims file
Simplify the tracking of the claim files processed in a management centre, files that may remain open for several months or even years
Speed up the processing of over 2.6 million incoming correspondences per year
Optimize the transfer of image flows over low bandwidth networks (low / high resolution, on-the-fly conversion etc…)

About MAIF

5th French individual insurance company for personal damages insurance and number one insurer in the associative sector, MAIF caters to the needs of its 2.5 million customers (property insurance, welfare insurance, health assistance, savings, credit ...). The company wins regular plaudits for its customer relations as it tops the list of French companies in all sectors. The satisfaction of its clients and the constant increase in their numbers reflect the success of MAIF and confirm that this model is a credible alternative to liberal economy. MAIF counts around 5899 employees and 2160 million Euros in turnover.