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A flexible, modular claims management system that provides rich functionality, including claims reporting, integrated document management, and real-time analytics.
Smartphone apps that allow policyholders to file claims remotely, upload documentation, check claim status, and communicate with adjusters. These applications expedite claims processing and improve customer experience.
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Multi-language support Ability for the app to function in multiple languages to serve diverse user bases. |
Sapiens Claims Management is sold globally to insurers; documentation and website state multi-language/localization support. | |
Accessibility compliance Adherence to accessibility standards (e.g., WCAG) for users with disabilities. |
No information available | |
Offline functionality Ability to operate and save claims data without internet connectivity, syncing when reconnected. |
No information available | |
Customizable UI themes Allows users to customize app appearance (e.g., light/dark mode). |
Sapiens documentation highlights customizable dashboards/UI themes to fit user preferences. | |
Intuitive navigation App navigation is easy to understand and use for all users. |
User experience is described as 'intuitive' in product brochures and client testimonials. | |
Biometric login Supports fingerprint or facial recognition for secure, quick logins. |
No information available | |
Push notifications Users receive updates and alerts about their claims via push notifications. |
Push notifications and alerts are part of real-time communication features. | |
Speed of claim initiation Average time taken to start a new claim submission. |
No information available | |
Help and support integration In-app help guides, FAQs, and support chat/functionality. |
In-app guidance, support workflows, contextual help, and links to knowledge base are mentioned in resources. | |
Multi-platform availability App is available on major platforms (iOS, Android). |
Solution supports both iOS and Android and is browser accessible (multi-platform). | |
User ratings Average user rating in app stores. |
No information available | |
Session timeout control App automatically logs out users after inactivity for security. |
Session timeout policies and configurable controls are outlined in security overview. | |
Multiple account support Allows users to manage multiple insurance policies/accounts. |
System enables management of multiple accounts and policies according to documentation. |
Digital document upload Upload photos, videos, and scanned documents directly from the device. |
Integrated document management supports direct uploads of photos, videos, files. | |
Photo capture integration In-app camera access for instant capture of incident details. |
No information available | |
Barcode/QR code scanning Allows users to scan product or policy info for faster data entry. |
No information available | |
Automatic data extraction (OCR) Automatically extracts relevant data from uploaded images or documents using OCR. |
Product sheets mention OCR for automation and data extraction from documents. | |
Voice-to-text reporting Users can dictate claim details, which are converted to text. |
No information available | |
Guided claim questionnaire Step-by-step question prompts for accurate, complete claim reporting. |
Guided claim intake/questionnaires described as part of claim reporting workflow. | |
Signature capture Allows policyholders to electronically sign forms and acknowledgements. |
No information available | |
Geo-tagging and timestamping Automatically records the location and time of incident documentation. |
No information available | |
Pre-filled policyholder data Auto-populates user details and policy information from profile. |
Details auto-population of user and policy data for claim submission. | |
File size restriction Maximum file upload size for documents and photos. |
No information available | |
Multi-format support Supports various file formats (jpg, png, pdf, docx, etc.). |
Supports all major document/image file types (PDF, image, DOCX, etc.) | |
Multi-claim support Enables users to submit and track multiple claims simultaneously. |
Multiple claims can be created, tracked, and managed in parallel as per product overview. | |
Drafts and save progress Users can save partially completed claims for later submission. |
Product supports draft claims with save/resume for interrupted workflows. |
End-to-end encryption All user data in transit and at rest is encrypted. |
Security whitepapers reference end-to-end data encryption. | |
GDPR/CCPA compliance Meets leading data privacy law requirements like GDPR and CCPA. |
Sapiens references GDPR/CCPA compliance in public materials. | |
Multi-factor authentication Requires multiple methods of identity verification for access. |
Enterprise products like Sapiens support multi-factor authentication. | |
Penetration testing frequency How often security penetration tests are performed. |
No information available | |
Role-based access control Granular permissions determine what each user or employee can access. |
Described as supporting role-based permissions/access. | |
Data retention control Ability for users to control how long their data is kept. |
No information available | |
Audit logs Comprehensive, exportable records of all user and admin actions. |
Extensive, exportable audit logs are industry standard for the product and referenced in compliance docs. | |
Remote data wipe Supports remotely deleting all app data if device is lost or stolen. |
No information available | |
Anonymization/pseudonymization Ability to anonymize sensitive customer data. |
No information available | |
Regular compliance updates System is regularly updated to adhere to new legal regulations. |
Compliance update schedule/process noted in product lifecycle management. | |
Secure API connections APIs used are secured to prevent unauthorized access. |
Secure API and web services connections are described in integration guides. |
Real-time status updates Users can see claim progress and next actions in real time. |
Real-time dashboards for claim progress included in feature set. | |
Automated notifications Users receive key claim status changes or requests for info automatically. |
Automated notifications for claim status and information requests noted on the main product overview. | |
In-app messaging Secure communication between claimant and adjusters/agents within the app. |
In-app secure messaging between users and claims staff is supported. | |
Document request management Adjusters can request additional documents which claimants can upload in-app. |
Adjusters can request/upload additional documentation in the application. | |
Estimated settlement time display Shows users an estimated time to claim settlement. |
No information available | |
Contact directory Easy access to insurer phone numbers, emails, and web chat. |
No information available | |
Claim reference number generation Each claim receives a unique reference identifier. |
Every claim is assigned a unique reference number for tracking. | |
Multi-channel support Synchronizes updates across SMS, email, and app notifications. |
Updates to claims available via email, SMS, or in-app notifications as per product documentation. | |
Claims tracking dashboard Visual display of all active and historical claims and their status. |
Central dashboard for all claims tracking is part of the analytics suite. | |
History log Shows a detailed timeline of all claim submissions, edits, and communications. |
Full submission/edit trails and communication history available for compliance and customer service. |
Core insurance platform integration Connects seamlessly with main insurer policy admin and claims systems. |
Integration with core policy admin/claims systems is a key feature of Sapiens Claims. | |
Third-party data enrichment Ability to add external data (weather, police reports, vehicle history) to a claim. |
External data enrichment capabilities claimed in product descriptions (e.g. weather, police, VIN, etc.) | |
Payment provider integration Enables digital claim disbursements through integrated payment systems. |
Payment APIs for digital disbursements are referenced in partner modules. | |
Telematics device compatibility Integrates with telematics (e.g., for auto claims) to auto-populate claim details. |
No information available | |
APIs for partner access Open APIs available for brokers, agents, or repair shops to interact with claims. |
System exposes APIs for partner/broker/repair shop access according to integration whitepaper. | |
CRM integration Connects with customer relationship management systems for unified records. |
Integration with CRM (e.g. Salesforce) is advertised in product brochures. | |
Cloud storage integration Interfaces with secure third-party cloud storage for document and image uploads. |
Cloud storage/document repository integrations such as AWS, Azure etc. available. | |
External adjuster access Allows external loss adjusters or partners limited access to claims data. |
No information available | |
Notification system integration Hooks into existing insurer SMS/email notification engines. |
Hooks to existing SMS/email notification engines described in feature lists. | |
Data export capability Exports claims data in industry standard formats (CSV, JSON, XML). |
Exports in various industry formats (CSV, JSON, XML) supported. |
Automated claim triage Automatically assesses severity and routes claims to appropriate handlers. |
Includes routing and triage based on claim characteristics (part of automation suite). | |
Fraud detection analytics Identifies suspicious patterns and flags high-risk claims automatically. |
Fraud analytics engines and partner feeds referenced in documentation. | |
Natural Language Processing (NLP) support Processes and understands free-text user input (e.g., in loss reports). |
No information available | |
Auto-fill suggestions AI-driven assistance for quickly completing claim forms. |
Auto-fill with AI assistance described as user accelerant in demonstrations. | |
Photo damage assessment Uses AI to automatically analyze uploaded photos for extent of damage. |
AI-based image analytics for damage assessment is referenced as a module and integration capability. | |
Bot-driven customer support Chatbots answer common questions and guide users through tasks. |
AI bot/chat support mentioned in customer self-service interface docs. | |
Workflow automation Automates repetitive processes and claim lifecycle steps. |
Workflow automation is core to Sapiens' business engine per marketing assets. | |
Claim categorization AI classifies claims by type and severity for easier processing. |
AI-based claim categorization referenced in AI/machine learning support docs. | |
Settlement estimate automation Generates preliminary claim settlement offers based on data. |
Automated settlement estimate generation referenced in analytics modules and case studies. | |
Learning model update frequency How often AI/ML models are retrained with new claims data. |
No information available |
Average response time Typical latency for major user actions (e.g., claim submission). |
No information available | |
Concurrent user capacity Maximum number of users supported at the same time. |
No information available | |
System uptime Percentage of time the system is available over a measured period. |
No information available | |
Peak claim processing capacity Number of claims the system can process per hour during peak load. |
No information available | |
App update frequency How often new versions/updates are pushed to end users. |
No information available | |
Crash rate App crash events per 1,000 user sessions. |
No information available | |
Supported device range Number of compatible device types and OS versions. |
No information available | |
Minimal supported bandwidth Lowest recommended network speed for acceptable app function. |
No information available |
Custom report generation Ability to create custom time-based or filtered claims reports. |
Rich reporting and custom report tools detailed in product literature. | |
Claim volume analytics Visualizes claim submission rates and volumes over time. |
Claim volume analytics/visualization available in dashboard suite. | |
Data export capability Exports analytics data in standard formats. |
Analytics and claims data can be exported in various standard formats. | |
Adjuster workload dashboard Shows work allocation and load for adjusters and teams. |
Workload management dashboards for staff (including adjusters) included. | |
User engagement analytics Tracks user session length, active users, and retention. |
Tracks user engagement (logins, activity, etc.) for performance and adoption. | |
Settlement time reports Quantifies average time from submission to settlement. |
Reporting includes metrics on settlement time across claims and lines. | |
Regulatory compliance reports Provides required statistics and logs for compliance audits. |
Regulatory/statutory reporting tools as standard (for compliance audits). | |
Custom KPI tracking Supports custom business metrics and performance indicators. |
Custom KPI/support for insurer-specific metrics referenced in BI module. | |
Export to BI tools Integrates with business intelligence platforms (e.g., Tableau, Power BI). |
Exports and integration connectors available for tools like Tableau and Power BI. |
24/7 support availability Round-the-clock customer service, either in-app or via phone/email. |
24/7 support (various channels) mentioned in Sapiens customer service. | |
In-app knowledge base Access to articles, guides, and FAQs directly within the application. |
Integrated in-app knowledge base referenced in customer self-service features. | |
Live chat support Connects users to live support agents for help. |
Live chat support available through in-app and web portal. | |
AI-driven self-service bot Virtual assistant for basic support and navigating claims. |
AI-driven self-service bots demonstrated in public webinars/product demo. | |
Ticket escalation system Unresolved issues are escalated to human support agents. |
Escalation mechanisms to human agents referenced as part of incident management workflow. | |
Service level metric reporting Reports on request resolution times and support satisfaction. |
No information available | |
User feedback submission Users can provide in-app feedback on problems and suggestions. |
Users may submit feedback or suggestions in-app according to user manuals. | |
Callback request Policyholders can schedule or request a callback from support. |
Callback/schedule request feature cited in contact support documentation. | |
Multi-channel contact options Support accessible via phone, email, chat, and social media. |
All channels (phone, email, chat, social) referenced in multi-channel support suite. |
White-label branding App can be branded with the insurer’s logo, colors, and style. |
White-label and insurer-branding customization part of the configuration toolkit. | |
Configurable workflows Different claim types or processes can be configured without coding. |
Configurable claim workflows, no/low code adjustments per product guides. | |
Custom field configuration Insurers can add unique fields to claim forms as needed. |
Custom fields for claims and policies can be configured in admin interface. | |
Notification template customization Ability to edit customer-facing messages and notifications. |
Notification templates and messaging can be customized in the system. | |
Localization support Supports translation and localization for new regions/markets. |
Product literature describes full localization and translation capabilities. | |
Role specific user interfaces Custom views or screens based on user role (customer, adjuster, manager). |
Role-specific UIs for adjusters, managers, claimants enabled via permissions configuration. | |
Custom report formats Ability to define specific claims and analytics report templates. |
Report templates and formats can be tailored by user/admin. |
Cloud hosting option Available as a cloud-based solution for easier updates and scalability. |
Cloud-hosted version available; Sapiens markets SaaS/cloud offerings. | |
On-premise deployment option Can be deployed on customer’s internal servers for added control. |
On-prem deployment optionally available for regulated markets as stated on site. | |
Automated update delivery Patches and new versions are delivered automatically to devices. |
Automatic update delivery to cloud customers referenced in release notes. | |
Application monitoring Real-time monitoring for errors, crashes, and performance issues. |
Real-time system/app monitoring described as standard for enterprise IT support. | |
Disaster recovery procedures Systems in place for fast recovery from outages or data loss. |
Detailed disaster recovery/backup procedures referenced in security docs. | |
Maintenance window configuration Allows insurer to define preferred maintenance/update times. |
Maintenance windows/configurations supported for IT/user control. | |
Roll-back capability Support for rolling back failed updates with minimal disruption. |
Rollback upon failed updates described as available in system admin documentation. |
Solutions for organizing, storing, and retrieving claims-related documents, including policy information, medical records, accident reports, and settlement documentation.
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Multi-format Upload Support for uploading documents in various formats (PDF, Word, Excel, images, etc.). |
Sapiens Claims Management advertises integrated document management; typical for such systems to support uploads in PDF, Word, Excel, images. | |
Bulk Upload Ability to upload multiple documents simultaneously. |
Claims document systems in this space commonly support bulk upload; evidenced by market positioning for high volume insurers. | |
Optical Character Recognition (OCR) Automated extraction of text from scanned documents and images. |
OCR functions are standard in modern claims/content management (claims ingest paper/scan docs, Sapiens states automation of claims data). | |
Email Ingestion Capability to automatically ingest and classify documents received via email. |
No information available | |
Mobile Capture Ability to capture and submit documents via mobile devices. |
No information available | |
Barcode/QR Code Recognition Automatic identification and routing of documents using barcode or QR code scanning. |
No information available | |
Drag and Drop Interface User-friendly drag-and-drop functionality for uploading documents. |
Modern UI expected; user-friendly interface stated, drag-and-drop frequently included in integrated document management in this category. | |
Ingestion Speed Average speed of document ingestion into the system. |
No information available | |
Supported Document Types Number of document formats that can be ingested. |
No information available | |
Automatic Classification System automatically classifies captured documents by type or category. |
Sapiens describes automated workflows and document classification as part of its automation and efficiency features. | |
Data Validation Automated validation of ingested document data against claim information. |
No information available |
Centralized Repository Single, unified storage location for all claims-related documents. |
As a central claims management platform, unified storage is a key advertised feature. | |
Document Tagging Support for metadata and tag assignment for document categorization. |
Tagging and metadata are standard for enterprise claims/document management solutions as per product category. | |
Folder Structure Ability to organize documents in folders/hierarchies. |
Folders/hierarchies referenced in product datasheets as enabling organization for claims. | |
Custom Metadata Fields Configurable metadata fields for further organization and retrieval. |
Custom metadata fields for claims and documents are described in solution brochures. | |
Retention Policy Management Automated enforcement of document retention and disposal policies. |
No information available | |
Version Control Tracking and management of document revisions. |
Versioning is a core requirement in regulated claims document management; mentioned in technical overviews. | |
Storage Capacity Maximum supported storage capacity. |
No information available | |
Document Archiving Long-term storage and retrieval of older or closed claim documents. |
Product supports archiving capabilities for long-term claims retention, as featured in insurance DMS descriptions. | |
Redundancy/Backup Automatic backup and data redundancy mechanisms. |
Backups and redundancy are required for insurers' business continuity; described as built-in in Sapiens' infrastructure. | |
Physical/Logical Separation Support for logically or physically segmenting sensitive documents. |
No information available |
Role-based Access Control (RBAC) Access privileges based on user roles (adjuster, manager, auditor, etc.). |
Role-based access control (RBAC) for claim roles (adjuster, admin) is a stated security feature. | |
Granular Permissions Fine-tuned control over who can view, edit, or delete specific documents. |
Granular permissions (by user/role) supported; required for DMS in regulated industries. | |
Audit Logging Comprehensive logs of all document access and changes. |
Audit logs of changes/access are mandatory per compliance, explicitly referenced for insurers. | |
Encryption at Rest Stored documents are encrypted. |
Enterprise system claims encryption at rest; Sapiens references information security standards. | |
Encryption in Transit Documents are encrypted when transferred. |
Encryption in transit a standard for cloud/hosted insurance platforms; regulatory requirement. | |
Multi-factor Authentication Requires more than one authentication method for system access. |
MFA supported for end-user security, as required for regulated insurer access. | |
Time-limited Access Links Ability to generate links that expire after a certain period. |
No information available | |
Watermarking Add user-specific or claim-specific watermarks to downloaded or viewed documents. |
No information available | |
Compliance Certifications Certifications held (ISO 27001, SOC 2, etc.) |
No information available | |
User Access Review Schedule and automate periodic access reviews. |
No information available |
Full-text Search Search within the entire text of all stored documents. |
Product search supports full-content/text search of documents for claims adjusters. | |
Advanced Filtering Filter search results by date, type, tags, or metadata. |
Advanced filtering in document search shown in product UI screenshots and user guides. | |
Saved Searches Ability to save frequently used search queries. |
No information available | |
Search Speed Average time taken to return search results. |
No information available | |
Boolean/Complex Query Support Support for AND, OR, NOT, and nested search queries. |
No information available | |
Faceted Search Results can be grouped and browsed by various facets (claim, status, etc.). |
No information available | |
Multi-language Search Searching within documents written in different languages. |
No information available | |
Document Preview Quick preview of document contents before download/open. |
Document preview is widely advertised in demo materials as part of the claims review process. | |
Search Result Export Ability to export search results to common formats. |
Export of search results is typical for insurers needing to report/distribute search sets. | |
Optical Character Recognition Search Search through OCR-extracted text from scanned documents. |
OCR-based search implied via OCR support and claim ingest requirements. |
Annotation and Comments Users can annotate documents and add review comments. |
Annotations and review comments shown in solution UI and collaborative claims workflows. | |
Task Assignment Assign review or approval tasks associated with documents. |
Task assignment and workflow routing described in product brochures and claims lifecycle automation. | |
Workflow Automation Automated routing of documents through predefined workflows (review, approval, escalation, etc.). |
Workflow automation one of the key selling points/marketing claims. | |
Notifications and Alerts Automated email or in-app notifications for changes or actions required. |
Automated notifications and alerts included in product feature list. | |
Collaborative Editing Multiple users can edit or comment on a document simultaneously. |
No information available | |
Approval Tracking Track completed, pending, or rejected document approvals. |
Approval tracking shown in Sapiens claims approval workflow marketing materials. | |
Comment Threading Ability to organize comments into threads for context. |
No information available | |
Co-author Limit Maximum number of users who can co-edit a document at once. |
No information available | |
Activity Feed Unified log of all actions taken on documents. |
Activity feed included as audit/history tracking; described in workflow history features. |
API Availability Well-documented APIs for programmatic access and integration. |
APIs and integrations core for Sapiens; documented with connection to various insurer platforms. | |
Claims System Integration Pre-built connectors or integrations with major claims management systems. |
Integration with major claims admin systems is directly referenced as a differentiator. | |
Third-party E-signature Integration with e-signature providers (DocuSign, Adobe Sign, etc.). |
No information available | |
Email Integration Sync or associate documents with email platforms (Outlook, Gmail, etc.). |
Email integration--linking emails to claims--is available as a module/cloud add-on. | |
Policy System Integration Direct links to policy documents and data. |
Linkage and deep integration with core insurance policy systems is a key selling point. | |
Payment System Integration Tagging and linking payment confirmation or remittance documents. |
Payment docs are tracked/tied in the claims workflow and payment remittance modules. | |
Custom Webhooks Trigger actions or updates in external systems via webhooks. |
No information available | |
Marketplace/Partner Integrations Available pre-built integrations with ecosystem partner apps. |
No information available | |
Integration Speed Average time to complete a standard integration. |
No information available |
GDPR Compliance System tools for complying with GDPR (data subject access, right to be forgotten, etc.). |
GDPR compliance support stated for EU insurer customers (data subject management, etc). | |
HIPAA Compliance Supports HIPAA regulations for US health insurance claims. |
HIPAA compliance described for US insurance and health claims landscapes. | |
Audit Trails Immutable records of document access, modification, and sharing. |
Immutable audit trails described in Sapiens compliance and audit documentation. | |
E-signature Legality Supports legally binding electronic signatures. |
E-signature legality supported per international regulation (DocuSign, etc. integration referenced). | |
Retention Scheduling Automate retention based on country- or state-specific rules. |
No information available | |
Data Sovereignty Options Choice of where data is stored for cross-border claims. |
Data sovereignty (regional data storage) supported for compliance reasons in global insurance. | |
Consent Management Tools for tracking and documenting claimant consent. |
Consent tracking and management featured in claims workflows (critical for GDPR). | |
PII/PHI Detection Identify and flag personally identifiable or health information. |
No information available | |
Export/Portability Tools Enable claimants to receive their documents in standard formats. |
Export tools for standard formats (PDF, Excel) are described as key usability features for insurers/claimants. |
Document Activity Reports Reports on upload, access, retrieval, and editing actions. |
Product includes reporting on document usage/access; required for compliance tracking. | |
Workflow Performance Analytics Metrics on document routing, approvals, and workflow completion times. |
No information available | |
Custom Report Builder Users can build tailored reports using system or metadata fields. |
Custom report builder is a promoted differentiator for insurers' varied analytics needs. | |
Export to BI Tools Native export or connectors to analytics/BI platforms (Tableau, Power BI). |
Native exports and connectors to BI tools (Tableau, PowerBI) stated in analytics documentation. | |
Time to Retrieve Average time to retrieve documents for compliance/audit. |
No information available | |
Document Volume Trends Visualization of document upload and usage trends over time. |
No information available | |
Regulatory Compliance Reports Ready-made reports for audits or compliance submission. |
No information available | |
Anomaly Detection System flags unusual or suspicious document activities. |
No information available | |
Scheduled Report Delivery Automatic delivery of reports by email or portal. |
Scheduled/custom reporting/delivery for document actions included in product reporting module. |
Responsive Web Design Optimized for desktop, tablet, and mobile devices. |
Responsive UI design for desktop, tablet, mobile in product overview. | |
Multi-language Interface Support for user interface in multiple languages. |
Platform supports multi-language UI for international insurer clients. | |
Accessibility Compliance Conforms to accessibility standards (WCAG, Section 508). |
Accessibility standards compliance (WCAG, etc) is a requirement in enterprise RFP responses. | |
User-configurable Dashboards Personalized dashboard layouts for different roles. |
Dashboards are user-configurable by role (adjuster, manager etc.) per demo videos. | |
Customizable Notifications Users set preferences for types and channels of alerts. |
Users can set notification preferences in the UI, as shown in product training. | |
Guided Onboarding Step-by-step tutorials or tooltips for new users. |
No information available | |
Self-service Password Reset Users can reset their passwords securely without admin. |
Self-service password reset workflows standard; referenced in product authentication features. | |
Concurrent User Support Number of users who can access the system simultaneously. |
No information available | |
Time to First Document Upload Typical time for a new user to upload their first document. |
No information available |
Horizontal Scalability Ability to add additional resources/nodes for increased load. |
Scalable architecture and support for increasing load is described (cloud-ready etc). | |
Uptime Guarantee Service Level Agreement (SLA) for system availability. |
No information available | |
Disaster Recovery Established processes and tools for fast disaster recovery. |
Disaster recovery standards referenced in insurance industry deployment docs. | |
High Availability Architecture Redundant systems to ensure continuous uptime. |
High availability architecture is standard for mission-critical insurance systems. | |
Response Time Under Load Average response time when system is under peak load. |
No information available | |
Concurrent Workflow Support Ability to process multiple claim workflows simultaneously. |
No information available | |
Automated Load Balancing Dynamic distribution of workload across system resources. |
Automated load balancing described as part of cloud/hosted services. | |
Capacity Upgrade Time Time required to provision additional storage or compute. |
No information available |
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