FINEOS Insight Datasheet

As part of the FINEOS Platform, FINEOS Insight provides cloud-native, SaaS-based capabilities needed to deliver cutting-edge insights that influence business decisions and drive better outcomes. With patent-pending machine learning solutions designed specifically for Life, Accident and Health insurance, FINEOS Insight transforms the ways in which you manage your business.

Embedded Analytics Integration | Real-Time Recommendations

FINEOS Predictive Models™ provide AI-boosted straight-through processing and recommendations.

  • Auto adjudication | Identify cases that can be automated without examiner intervention.
  • Dynamic segmentation | Automate assignments based on risk complexity, availability, and skill levels.
  • Propensity to purchase and sentiment analytics | Increase sales and retention.
  • Identify inconsistencies and potential fraud | Automatically review applications, transactions, and other disbursements from employees, distributors, and third parties.

 

Business Driven Insights Implementation-Ready

FINEOS Machine Learning™ models are insurance-specific and are continuously improving as your business evolves.

  • FINEOS Claims Fraud | Detect potential fraud in short-term and long-term disability claims based on anomalies in the claims data.
  • FINEOS Claims Settlement | Identify long-term disability claims with a likelihood to settle based on claim attributes.
  • FINEOS Census Standardization Normalize census files using a standardized data model.
  • FINEOS Annuity Fraud Scoring | Assess annuity fraud likelihood based on application, distribution source, and employee connections.
  • FINEOS Bridging | Identify short-term disability claims most likely to become long-term.

 

Intelligent Guidance Differentiate with Data

An out-of-the-box solution to standardize processes and data from all sources across the value chain.

  • Neural machine learning | Predict optimal data structures regardless of file formats using a model-based approach.
  • Unsupervised machine learning | Detect anomalies in underlying data structures.
  • Full traceability and auditability | Increase transparency of models and data pipelines.
  • Deliberately designed architecture | Enable processes to be intuitive, standardized, repeatable, scalable, and measurable.

 

FINEOS Insight provides cloud-native, SaaS-based capabilities to deliver data-driven business insights to inform decision making and improve results

Deliver Transformational Results

 IMPROVE Decision Making

  • Enhance operational decision making with embedded, real-time analytics and recommendations
  • Identify leads that are more likely to convert to sales faster
  • Increase policy retention by taking remediation on policies predicted to lapse
  • Assess past behaviors to target product recommendations and predict propensity to buy
  • Boost consistency, transparency, and accuracy of decisions through decision automation

 

REDUCE Cost and Risk

  • Lower cost, frustration, and time from working with multiple, fragmented workflows and systems
  • Identify potential fraudulent claims faster and more accurately, and flag them for investigation
  • Improve data accuracy through reduced manual errors and automated error checking
  • Decrease decision-making risk by having the right types of information available and accessible

 

ACCELERATE Innovation

  • Provide an implementable, open core framework for legacy systems modernization
  • Identify and extrapolate anomalies and trends faster with embedded analytics
  • Leverage FINEOS Machine Learning™ to identify performance improvement opportunities
  • New products and features can be implemented faster in line with top business priorities
  • Increase flexibility and ease of doing business with partners and vendors

FINEOS is a leading provider of core systems for life, accident and health insurers globally with 7 of the 10 largest employee benefits insurers in the US as well as 6 of the largest life insurers in Australia.  With employees and offices throughout the world, FINEOS continues to scale rapidly, working with innovative, progressive insurers in North America, Europe, and Asia Pacific.

The FINEOS Platform is the only purpose-built, end-to-end SaaS insurance solution for the life, accident and health market. The FINEOS AdminSuite delivers industry leading capabilities across core administration including absence management, billing, claims, payments, policy administration, provider management and new business and underwriting; all of which are configurable to operate independently or as one suite. The machine learning enabled FINEOS Engage solution enables robust people first digital engagement pathways and the FINEOS Insight solution provides predictive analytics and reporting across the business.