WorkflowLife & Annuities

Death Claims

Death Claim Processing

Every death claim checked and ready to pay well inside the 15-day clock, with interest worked out.

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WorkflowDocuments in; a checked, signed result out.
5specialist agents
5kinds of input
Soonfilm in production
The problem

Why it matters

Death claims stall on document chases, nominee checks and manual payout sums while IRDAI and state interest clocks run against the insurer.

What it does

How the solution handles it

Five agents read the claim pack, list missing papers, check the nominee and beneficiary, screen policy age and exclusions, and calculate the payout with any interest. The claims examiner approves payment.

How it works

How a claim moves

Five specialist agents read the claim, list missing papers, check the beneficiary and policy, and prepare the payout; a claims examiner approves.

What comes in
Claim in4 channels · branch, call, email, portal
Agents at work
Claim pack readerfacts + sources
Then
Document gap finderwhat is missing
Beneficiary checkernominee, assignee, KYC
Then
Contestability screenerpolicy age, exclusions
Then
Payout and letter drafterbenefit + interest
A person decides
Claims examinerapproves payment
What comes out
Claim ready to pay
Family informed
Clock met
In and out

What it reads, and what it hands back.

What goes in

  • Claimant statement
  • Certified death certificate
  • Policy and beneficiary records
  • Nominee ID and bank details
  • Medical or police records

What comes out

  • Claim ready to pay
  • Missing-paper list
  • Payout with interest
  • Draft letter to the family

Who uses it

DCDeath claims examinersCMClaims managersBABranch and service teamsCOCompliance officers
What it changes

The difference, in numbers.

Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.

target
3days
to a claim ready to pay, against IRDAI’s 15 days for clean claims
Ready by day 3
claims needing no investigation
target
10min
per claim, from claim pack to a checked, ready file
By hand45–90 min
With agents≈ 10 min
target
Every
late payment carries its interest, worked out by the governing rule

Source: IRDAI Master Circular on policyholders’ interests (Sept 2024): 15 days, 45 with investigation · “Target” = design goal, measured in the live solution · “typical” = published figures · “estimated” = our estimate

Built on the engine

5 specialist agents. One person decides.

Claim pack readerevery paper in the claim pack
Document gap finderlists missing papers once
Beneficiary checkernominee, assignee and KYC
Contestability screenerpolicy age and exclusions
Payout and letter drafterbenefit, interest and letter
Claims examinerapproves every payment

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for your team.

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