ClaimsMaster
Delivers intelligent, rules-driven workflows powered by AI-driven insights to enable seamless claim assignment and straight-through processing, significantly reducing cycle times and unlocking new opportunities for growth.
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Feature-Rich Claims Solution
- User Focus
- Automated Decisioning
- Digital First
User Focus
A highly intuitive, configurable user interface that empowers effortless multi-tasking, while ensuring absolute data integrity and eliminating any risk of data loss.
Benefits:
- Incorporate a full gamut of communication tools to ensure responsive customer support
- Drive workflow & messaging across adjusters, managers, policyholders, and claimants
- Seamlessly integrate with third-party ecosystems via APIs
Automated Decisioning
Fully automates time-consuming and highly complex claims decision-making, creating efficiencies and opportunities. Advanced AI algorithms enable predictive analytics to expedite claim resolutions and reduce manual interventions.
Benefits:
- Directly trigger tasks to the right contacts at the right time
- Use a combination of rules and workflow
- Supports role-based and straight-through processing
Digital First
Highly flexible and configurable solution enabling insurers to meet rapidly evolving needs and expectations without coding.
Benefits:
- Incorporate service-oriented, configurable architecture
- Full metadata and rules options
- Pre-integrated with DigitalSuite
Transformational Products
Sapiens provides a comprehensive set of solutions to fully automate the insurance landscape.
IDITSuite
AI powered, end-to-end insurance software powering customer acquisition, billing, finance, claims and renewal
PolicyMaster
Comprehensive policy lifecycle support system, enabling agents, underwriters and customers to quote, issue and administer policies
BillingMaster
An enterprise solution that integrates with third-party systems and data repositories managing entire billing requirements
DigitalSuite
Transform your insurance operations with seamless digital experiences to achieve a fully digital engagement experience
Customer Stories
Xcelent Award for P&C EMEA, IDITSuite
Industry Recognition
FAQs
Sapiens ClaimsMaster is an advanced, end-to-end claims management solution designed for insurers handling both personal and commercial lines. Built for claims teams, adjusters, and supervisors, it streamlines the entire claims lifecycle from FNOL to settlement while supporting complex case handling, fraud detection, regulatory compliance, and digital customer engagement. It can operate as part of Sapiens IDITSuite or as a standalone claims system.
ClaimsMaster features intelligent, rules-based workflows that automate task assignment, verification, and escalation. This helps reduce claim cycle times, improve decision-making, and lower operational and settlement costs. With configurable dashboards and real-time access to key data, insurers can accelerate processing and proactively manage exposures.
Yes! ClaimsMaster is built on a service-oriented architecture and is highly configurable through metadata and rules. It integrates easily with internal and third-party systems and is pre-integrated with Sapiens DigitalSuite to support omnichannel communication, self-service portals, and mobile engagement. Whether you’re transitioning to the cloud or enhancing existing systems, ClaimsMaster is designed for agility and scalability.
ClaimsMaster provides an intuitive, modern interface with “one-click” access to key features and a consistent, role-based navigation experience. Users can customise their views, multitask efficiently, and onboard quickly, making it easy to reassign staff during peak events or CATs without significant retraining.
The solution supports case management for complex scenarios and leverages configurable rules to trigger tasks related to fraud detection, limit checks, and regulatory compliance. Supervisors and managers benefit from dashboards that provide visibility into workloads, financial exposure, and operational performance enabling proactive oversight and risk mitigation.
