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Supercharge First Notice of Loss (FNOL)​

AI-powered Digital Coworkers enable claims teams to receive, process and manage FNOL significantly faster, with greater confidence.​

99%

of all FNOL correspondence processed straight-through for a leading insurance carrier​

90%

reduction in time spent on processing FNOL for a large insurance conglomerate​

90%

Reduction in claims document average handling time for a national insurer​

Handle more claims, faster​

Overview

  • FNOL correspondence forms a critical aspect of setting up and and effectively managing a claim.​
  • Documents received as part of FNOL vary from structured forms (e.g. ACORD, UB-04, CMS-1500 etc) to completely unstructured documents (e.g. demand letters, policy documents, general correspondence etc).
  • Additionally, seasonal events, such as CAT season, often result in large volume spikes that exceed the existing team’s capacity slowing down the FNOL process or worse, resulting in rework or inaccuracies that drive up premium leakage.​

Challenges include

  • High variability of documents and data that are unclassified​
  • Multiple channels used to submit documentation​
  • High manual effort to extract data from both structured and unstructured data sources​
  • Quality and/or types of documents submitted (e.g. images) cannot be processed by traditional automation or OCR tools​
  • During times of peak volumes, claims teams are forced to turn to temp labor.​

Transform FNOL processing​

See how we reimagine FNOL processing for claims teams.​

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Intake

FNOL correspondence and documents are submitted directly to a Digital Coworker for scanning, classification, analysis and key data extraction.​

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Analyze

Traditionally, the mailroom, imaging team or adjuster receives the FNOL package, identifies key information and manually enters the data into the claims/policy system. Further, the adjuster may need to open up a communications channel with the customer or agent to clarify or obtain more information.​​

In this future state, the Digital Coworker ingests the FNOL package and leverages InsurGPTTM to classify each document type, look up existing claims or cases, extract key information (such as claimant name, policy number, claim amount, reason for claim etc), upload relevant documents and data to systems of records and finally, create the acknowledgment letter.​​

Further, the Digital Coworker can be trained to identify missing data and as part of the initial acknowledgment, request required information.​

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Process

The Digital Coworker notifies the claims team, via the Roots Cockpit, that a FNOL has been received and is ready for review.​

The claims team uses the Roots Cockpit to communicate with and assist the Digital Coworker in finalizing the FNOL acknowledgment and can either action themselves or pass to a Digital Coworker to complete the process.​

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Benefits

Digital Coworkers can effectively automate the FNOL process end-to-end, liberating your claims team from the administrative burden that comes with managing this highly unstructured, manual process.​

  • Process FNOL straight-through​
  • Reduce administrative cost and premium leakage ​
  • Provide the organization with a scaling workforce to address capacity issues, especially during seasonal or unforeseen events​
  • Remove manual effort and provide capacity back to highly skilled employees, to spend more time on claims handling, adjudication and customer engagement​

CUSTOMER SUCCESS

Our Customers see Digital Coworkers as important members of their team

“The Digital Coworkers Roots Automation provides work in conjunction with our Team to optimize our medical claims process. Our Digital Coworkers provide the simplicity and scalability necessary to deliver best-in-class productivity to our clients. Additionally, we value the insights from the Roots Automation Team about our processes, of which, we integrate into our continuous improvement plans for our business practices in order to provide industry leading solutions.”
Kevin Mahoney
President & COO, Carisk Partners
“Everything happened fast, our digital coworker ‘Roxy’ was trained and ready on time as promised! The team at Roots Automation have been a pleasure to work with! They’ve anticipated our questions and respond quickly to our asks and changes.”
Lea Lundquist
VP, Claims Administration, Protective Insurance
“We appreciate all of Roots Automation's efforts to automate a challenging initiative with 500,000+ transaction requests annually. Our internal Center of Excellence was able to get to production faster and more cost-effectively than what we originally planned.”
David Emmer
CIO, Anchin, Block & Anchin LLP
"Insurance companies have a desperate need to automate many business processes for efficiency, but current solutions are limited to rule-based tasks and aren’t insurance industry-specific, limiting their potential, Digital Coworkers lessen our stress over finding and retaining talent, and unburden our teams so they can focus on more impactful work. Roots Automation’s unique approach to automation has improved our employee retention while offering superior economics and enhanced customer experience".
Cathy Carr
VP of Insurance Support Services, Berkshire Hathaway Guard President
"Roots Automation has helped American Exchange automate and improve a lot of our internal data validation and data entry processes. This has both reduced our workload and has reduced human data entry error to almost zero. The best part is that our process with Roots Automation has allowed our agents to do what they do best, and that is talk to people and help them with their individual and Medicare health insurance decisions."
Andrew Hetzler
Chief Executive Officer, American Exchange

INSIGHTS, NEWS & RESOURCES

Webinars

Webinar: Unlocking Value with AI-Powered Underwriting

Register for our upcoming live webinar, where we will offer guidance, strategies and insights for your successful transition to AI-powered underwriting

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Whitepapers

Whitepaper: Transforming Commercial Underwriting with AI-Powered Digital Coworkers

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Whitepapers

Whitepaper: Transforming Claims Management with AI-Powered Digital Coworkers

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Blogs

Reflecting on 2023 and Looking Ahead to 2024

Success Story

Increasing speed & accuracy of Claims Document Processing for a large Insurance Conglomerate

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