Use Cases

See how our advanced claims management software is transforming insurance

Metromile Enterprise solutions solve the most time-consuming, waste-generating, ROI-impacting issues in the industry. Discover how our sophisticated software streamlines claims management for insurance companies and customers.

Catastrophe Claims

Each country has its own definition of Catastrophe (CAT) season when the claims team ramps up to prepare for the worst case scenario. STREAMLINE offers pre-built CAT automation packages that allow insurers to be ready at a moment’s notice.  

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E2E Touchless Claims Processing

Imagine a world where an insured can feel empowered to report and settle their claim within minutes, not days or weeks. STREAMLINE is your solution for a touchless claims experience drastically improving your closing ratio,minimizing claim expenses and increasing retention with those who have experienced a claim.

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Automated Fraud Detection

DETECT, SaaS-based AI fraud detection solution automatically detects fraudulent claims and organized fraud networks accurately and efficiently at scale. The automated fraud detection system enables legitimate claims to be fast-tracked and suspicious ones to be triaged for further investigation. Gives claim adjusters, managers, and SIUs near-real-time risk scores, while providing context around those scores via […]

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Claim File Reviews – Team Level

Team Leads have a duty to ensure their team is following the company’s best practices to negotiate and settle claims.

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Claim File Reviews – Departmental Level

Automate your Quality Assurance (QA) requirements at the department level within minutes using STREAMLINE to conserve resources, eliminate human error and ensure your business is compliant at all times.

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Subrogation: Demands

Let STREAMLINE manage the composition and delivery of subrogation demands by pulling all relative documents from your document management system and automatically emailing them to the responsible party’s insurer.

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Subrogation: Status Updates

Use automation to perform tedious and repetitive tasks, allowing adjusters to allocate their time on other pending priorities daily.  

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Subrogation: Deductible Reimbursement

Subrogation efforts are a critical step in the claim management process. STREAMLINE can improve the customer experience and employee productivity by automatically handling tasks and processes.  

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Subrogation: Assignment

Let STREAMLINE take the effort out of making subrogation assignments to an individual or team at your company to simply the process and reduce a claim adjuster’s workload.

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Notice of Subrogation

The opportunity for subrogation begins with early detection and swift notice that you will be pursuing the responsible party for damages incurred.

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Claim Withdrawal

Free up claim adjuster’s time by allowing automation to manage unresponsive customers and follow up on a set cadence, ultimately closing the claim and sending the appropriate notifications.  

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Total Loss & Salvage

When customers are in a serious accident, it can be costly to delay the determination of a total loss any longer than needed as this can rack up claim costs quickly.

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Optimizing the Touchless Claims Experience from the Ground Up

As a pioneer in touchless claims, we built the digital-first claims automation platform that is revolutionizing insurance. Leverage light-weight, cloud-based P&C insurance software to transform the way you process claims.

Lower costs

Our AI-based platform allows you to reduce claims leakage and $LAE while reducing fraud losses.

Close claims faster

Automation fast-tracks the claims process and delivers a more efficient workflow for your adjusters.

Delight customers

Our self-service platform lets customers self-report and check claim status on their time and terms.

Streamline workflow

“Virtual” claim handler performs routine, repetitive tasks, allowing your staff to focus on more challenging work.

Empower staff

Our low-code, cloud-based platform makes it easy for non-technical staff to configure the platform without extensive coding.

Integrate easily

Our technology is designed to integrate seamlessly with existing policy & claim management systems and telematics.

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Claims Automation Learning Center

Blog

Policyholders Want Choice and Transparency in Claim Payments

Improved claims handling is key to the customer retention Handling insurance claim payments with responsiveness and speed is critical for increasing retention with policyholders. Insurance carriers choose Guidewire Cloud‘s robust platform to deliver improved claims handling experiences. However, many Guidewire customers are struggling to find a solution for claim payments handling. Historically, an out-of-the-box solution […]

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Catching Fraud: Why Insurers Should Consider Machine Learning

According to the Insurance Information Institute, insurance fraud accounts for nearly 10% of the property and casualty insurance industry’s incurred losses and loss adjustment expenses each year. Ten percent is a stunningly large loss driver that is often under-captured, and it hurts carriers’ bottom line by billions of dollars every year. Looking on the bright side, […]

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How Metromile STREAMLINE Intelligent Process Automation Compares to Robotic Process Automation (RPA)

In the insurance industry, intelligent process automation and robotic process automation can optimize business processes and increase workforce productivity and efficiency. The result is a great customer experience and improved operational efficiency. But the devil is in the details. What is robotic process automation (RPA)? Robotic process automation (RPA) uses software or so-called robots to […]

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5 Things Insurers Should Know to Maximize the Success of Their Automation Technology Project

P&C insurers are grappling with massive headwinds: a low-interest economic environment, new competitors, and rapidly evolving technology. Insurance executives can turn to automation to save costs and improve the efficiency of their business. Consider implementing these five fundamental principles to drive more value from technology. 1. Understand your status quo very well.  Before getting started […]

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Here’s How Insurers Can Use Automation to Innovate Their Operations

Metromile Enterprise’s claims innovation expert, Matthew Walsh Matthew Walsh spent his career in the insurance industry, managing complex claims, including exotic vehicles, motorcycles, and high-cost losses. He was most recently the director of claims innovation at Metromile, where he focused on automating claims, digitizing the first notice of loss, improving fraud tools and detection, promoting […]

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Digitizing FNOL is the First Step in Improving a Claims Journey

  Insurance companies make an unspoken promise to their customers: we’ll be there when you need us. Unfortunately, when it comes time to deliver, many policyholders ultimately don’t believe insurance companies are fulfilling this promise. According to Accenture, 41% of policyholders who submit a claim are likely to switch insurance companies within a year. The […]

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Experience the Power of Claims Automation

The time is now. See how our top-rated automation platform transforms the claims experience for your customers, staff, and business. Request a demo today.