Understand documents. Apply knowledge. Identify required action.
Process claims instead of sorting documents
Your claims department receives claim notifications, invoices, expert reports, images, legal correspondence and supplementary correspondence every day.
Before your employees can process a claim professionally, they must open documents, review content, search for policy or claim numbers, assign documents to a case and identify which information or evidence is still missing.
Buildsimple takes care of these recurring steps. The platform understands your insurance documents, compares their contents with your approved company knowledge and existing case data, and prepares the next sensible step.
This enables your employees to identify earlier what is available, what needs to be reviewed and what should happen next.
IMPACT CHAIN
From inbox to claims settlement
CHALLENGE
Your claims processing begins long before the professional decision
Before your employees can assess a claim, all incoming information must be complete, correct and assigned to the right case.
A claim notification may reach you as an email with several attachments. Additional images, invoices, expert reports, letters from lawyers or supporting documents may arrive through other channels. Relevant information is contained in the message text, attachments, existing cases or your approved guidelines.
Your employees must turn this into not only a complete claim case, but one that is structurally prepared. This work is necessary. However, it ties up precisely the employees whose expertise you need for complex cases, exceptions and customer concerns.
RISK
As your document intake grows, your manual work should not grow with it
As the number of your claim notifications, attachments and customer inquiries increases, the workload of your employees rises directly without automation. The result is not only a slow inbox, but a process that you cannot scale.
BUILDSIMPLE
A process that completes the preparatory work before your employees take action.
An OCR solution can read the text in your documents. A language model can understand, assess and summarize content. A workflow can identify and route business transactions. An agent can use systems and act independently.
This enables you to identify circumstances earlier in the process, respond faster, accelerate processing and save costs.
Your business department determines when Buildsimple suggests an action, when the platform prepares a step for your employees and which clearly defined follow-up actions may be triggered within your approved rules.
Buildsimple compiles relevant information for your employees. Your professional responsibility and defined approvals remain in place.
Buildsimple connects for you:
Your incoming documents and emails
Your approved company knowledge, such as insurance terms and conditions, product information, work instructions and process requirements
Your existing policy, claim and case data
Your professional review, approval and escalation rules
Configurable confidence thresholds and targeted reviews by your employees
Your existing business, DMS and workflow systems
Logical next steps for employees
APPLICATION OPTIONS
Your future claims processing:
Capture and assign claim notifications automatically
You identify claim notifications across all intake channels. You classify the documents and extract the information your employees need for further processing.
You consolidate information from multiple documents into business cases. In the event of uncertain or conflicting results, the case is specifically submitted to one of your employees for review.
Apply company knowledge
With Buildsimple, you can compare documents with insurance, process and case knowledge.
Insurance and product knowledge
Insurance terms and conditions, product information and tariff features help your employees find relevant information more quickly.
Case and portfolio knowledge
Policy data, existing claim data, previous correspondence and documents already available provide the necessary context.
Process knowledge
Work instructions, process requirements and approved review and escalation rules show how your case should be processed further.
Traceable classification
Your employees can see which information was consolidated and which parts of the documents a result is based on.
Buildsimple therefore does not prepare an independent coverage or benefits decision. The platform compiles relevant information for your employees. Your professional responsibility and defined approvals remain in place.
Stephan Alexander Spottke - Head of Enterprise Content Management - Demand, Risk and Process Management, VHV Solutions GmbH
Sören Gensler - Head of KO Processes and Technology, Württembergische Versicherung AG
Mario Dederichs - Head of IT | DMB Rechtsschutz-Versicherung AG
How quickly does a claim notification become a case ready for review?
Claims notifications, invoices, expert reports, images and correspondence arrive in different formats and at different times.
In a demo, we show you, based on your document and claim types, how Buildsimple assigns documents, makes missing information visible and prepares the next logical step. This gives you a clear view of which processes can continue automatically and where specialist review by your team remains necessary.
FREQUENTLY ASKED QUESTIONS
FAQ
What information does your team need for the next step in a claim?
Claims notifications, invoices, expert reports, images and correspondence often come together via different channels. Here, we answer questions about how Buildsimple assigns documents to a claim, makes missing information visible, flags anomalies and prepares specialist processing.
Depending on the claims process, forms, emails, invoices, cost estimates, reports, photos and other attachments can be taken into account. The required document types are defined based on the specific insurance process.
Buildsimple can compare available information and documents against defined requirements. Missing or contradictory information is made visible and can trigger a query or specialist review.
AI can flag patterns, contradictions and defined risk signals. However, a flag is not a final fraud decision. That decision remains with the responsible claims handlers, experts or specialised departments.
Rules, confidence levels and specialist criteria determine which processes can continue automatically. Complex, incomplete or suspicious cases are specifically forwarded for review.
Yes. Identified and verified information can be transferred via interfaces to existing claims, policy administration, document or workflow systems.