Insurance adviser reviewing a claims folder with a policyholder
INSURANCE

Keep the policyholder journey connected.

Explore policyholder onboarding, claims documentation, policy agreements and controlled evidence review for insurers.

Organize claim submissionsFocus attention on missing evidenceClarify acceptance status
THE INDUSTRY CHALLENGE

Claims need context, not another disconnected attachment.

Policy applications and claims draw on declarations, identity records and supporting documents supplied at different times. Claims handlers need to understand which records relate to the event under review.

The proposed workflow organizes submission and review without treating extraction as a coverage decision. Policy terms, fraud escalation and settlement authority stay with the insurer.

  • Incomplete policyholder declarations
  • Claims evidence separated from the event
  • Unclear policy acceptance and review history
Professional reviewing administrative supporting documents for insurance
Illustrative workflow. No live customer integration is implied.
PRACTICAL USE CASES

Where the document journey matters.

Insurance / 01
Policyholder onboarding
  1. Collect records
  2. Authorized review
  3. Retain context

Policyholder onboarding

Challenge Identity and declarations may arrive through several channels.

Proposed workflow Capture supported identity documents and prepare the policy checklist.

Expected benefit Identify missing readings before underwriting review.

Insurance / 02
Claims document review
  1. Collect records
  2. Authorized review
  3. Retain context

Claims document review

Challenge Handlers receive invoices, reports and supporting records separately.

Proposed workflow Organize the claim pack and present source-linked values for review.

Expected benefit Keep the evidence associated with the claim event.

Insurance / 03
Policy acceptance
  1. Collect records
  2. Authorized review
  3. Retain context

Policy acceptance

Challenge Applicants need clear final terms and acceptance steps.

Proposed workflow Plan agreement review and the required acceptance evidence.

Expected benefit Make completion and outstanding actions easier to follow.

Insurance / 04
Claims audit and enquiries
  1. Collect records
  2. Authorized review
  3. Retain context

Claims audit and enquiries

Challenge A later enquiry needs the records supporting the outcome.

Proposed workflow Retain authorized claims documents and review context.

Expected benefit Support consistent retrieval for an authorized reviewer.

CONNECTED CEBS SOLUTIONS

Choose the right part of the portfolio.

Start with a defined use case. Confirm availability, supported scope and acceptance criteria for each product.

ID Secure

Capture supported identity documents and prepare the policy checklist.

Use case: Policyholder onboarding
Available for evaluationExplore ID Secure

Document Intelligence

Capture supported identity documents and prepare the policy checklist.

Use case: Policyholder onboarding

Evidence Vault

Organize the claim pack and present source-linked values for review.

Use case: Claims document review
A PROPOSED CONNECTED JOURNEY

From the first record to the next decision.

This illustrates the intended portfolio journey. Only supported ID Secure capture is available for evaluation today; the connected stages require agreed development and validation.

Professionals coordinating an illustrative insurance document handover
Proposed handover. Records stay connected to their review context.
  1. 01

    Receive the policy or claim request

    Proposed workflow
  2. 02

    Collect supporting records

    Evaluation: supported document capture
  3. 03

    Review declarations and evidence

    Proposed workflow
  4. 04

    Authorize the insurance outcome

    Proposed workflow
  5. 05

    Retain the relevant context

    Proposed workflow
THE BUSINESS VALUE

Outcomes worth designing for.

01

Organize claim submissions

Identify missing readings before underwriting review.

02

Focus attention on missing evidence

Keep the evidence associated with the claim event.

03

Clarify acceptance status

Make completion and outstanding actions easier to follow.

04

Prepare reviewable claim records

Support consistent retrieval for an authorized reviewer.

Qualitative objectives for evaluation, not measured performance claims.

PROPOSED INDUSTRY SCENARIOS

Picture the work in context.

Supporting invoice review illustrative scenario
Proposed scenario

Supporting invoice review

A claims handler compares an extracted invoice reference with the submitted record before continuing review.

Policy acceptance follow-up illustrative scenario
Proposed scenario

Policy acceptance follow-up

An operations team locates the final policy agreement and outstanding participant response.

DEPLOYMENT, SECURITY AND GOVERNANCE

Agree the operating boundaries first.

Design the insurance workflow around its records, users and responsibilities.

Explore deployment planning Explore planned Security Assurance
Deployment and residency
Confirm Cloud, On-premise or Hybrid support by product. Agree data location and operational responsibilities; the entire portfolio is not already available in every mode.
Roles and approvals
Define who may submit, review, approve and retrieve insurance records. Keep acceptance decisions with authorized personnel.
Evidence and retention
Agree the records needed for enquiry or audit, review periods, legal holds where required, and disposal responsibilities.
Integration and validation
Define system boundaries, reference matching, authentication and failure handling. Confirm local regulatory and customer approvals before rollout.
COMMON QUESTIONS

Plan with the right expectations.

Will document extraction determine coverage?

No. Coverage depends on policy terms and the insurer’s authorized assessment. Extracted readings require review.

Does the proposal detect insurance fraud?

It does not establish a qualified insurance fraud decision. Agree supported checks and evaluate any proposed detector separately.

Can different claim types have different checklists?

Yes. Define evidence requirements for each claim type and preserve the reason when an exception is approved.

Can we retain records after settlement?

Retention and disposal depend on record purpose, insurer policy and applicable requirements. Agree those controls before rollout.

YOUR NEXT STEP

Design a digital trust journey around your business.

Discuss your insurance document volumes, approval responsibilities and deployment preferences with CEBS.

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