© Daniel Grizelj / Munich Re

CLARA – Claims Risk Assessment

Helping you get to grips with digital claims assessment

CLARA accelerates claims handling by up to 50%

The time taken to handle claims is a key factor in an occupational disability insurer's reputation and the satisfaction of its clients. On average, such claims can take up to 200 days to process and often involve multiple requests for further information and convoluted assessment cycles — the scope for improvement is huge. Munich Re has developed the CLARA service for the MIRA Digital Suite to unlock this potential for improvement. Using structured interviews, this data-driven automation solution reduces the time taken to process claims by up to 50%. 

Claims handling with and without CLARA

Conventional claims handling process

  1. A claim is submitted.
  2. The claims handler checks that the claim contains all the required information and looks at the claim amount. Other appraisers are also involved in this process.
  3. The claims handler sends out a questionnaire to obtain information relevant to the claim.
  4. The actual claims handling process begins. The claims handler requests further relevant documents.
  5. The handler then makes a decision based on the gathered information.
196
days*
* Franke & Bornberg, DI-Claims study 2016
98
days

Claims handling with CLARA

  1. A claim is submitted.
  2. Within a short time of the claim being submitted, the claims handler uses CLARA to conduct a rule-based telephone interview for the purposes of assessment.
  3. Following this, the handler sends out a brief questionnaire customised by CLARA, along with a transcript of the telephone interview.
  4. The claims handler then starts the focused claims handling process using the information already gathered.
  5. The handler makes a decision based on a standardised process with a high degree of objectivity.

CLARA — the benefits at a glance

CLARA – the benefits at a glance
© Bim / Getty Images
CLARA will boost your reputation and strengthen your competitive position by significantly reducing claims settlement processing times.

More satisfied clients: Faster processing times are proven to result in fewer client complaints. 

More efficient processes: Workflows are systemised and external costs reduced. Administrative costs are also lowered. 

Reputation: Shorter assessment times have a positive impact on your company's reputation. The claims process is increasingly important in ratings and analyses. CLARA give you an additional point of sale argument.

Data analytics: Structured data collection enables detailed data analyses. This will drive targeted development of your business, give you a better understanding of incidence rates and allow you to assess risks in a more sophisticated manner.

Scalability: The higher degree of standardisation makes claims assessment more flexible and therefore fit for the future. 

Improved risk result: Structured data collection and a focused handling process help to avoid errors.

Speak to our experts
Wolfgang Demmerich
Wolfgang Demmerich
Business Development Manager
Life & Health
Lutz Küderli
Lutz Küderli
Head of Digital Services
Life & Health
Alban Senn
Alban Senn
Head of Section International Claims
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