Insurance

Complaint management for insurance companies

Handle complaints from policyholders, beneficiaries and intermediaries in one tool: claims, settlements, policies and premiums, with controlled deadlines and full traceability.

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The challenges of insurance complaints

In insurance, complaints often come at the most sensitive moment for the policyholder: after a loss, a denied claim or a premium increase.

1

Claims and settlements

Settlement times, amount paid, disputed assessments, denied coverage: these complaints require rigorous investigation.

2

Policies and premiums

Cancellation, endorsements, payment schedules, premium debits, missing certificates: frequent requests to handle quickly and accurately.

3

Distribution network

Agents, brokers, bancassurance: a complaint may start with an intermediary and must reach the insurer without losing information.

4

Supervisory authority requirements

Insurers must be able to demonstrate how each complaint was handled and how quickly they responded.

5

Mediation and appeals

Unresolved cases may go to mediation: every exchange must be documented.

6

Root cause analysis

Identify the coverages, products or processes that generate the most complaints and fix them for good.

A classification designed for insurance

A set of complaint reasons organized by line of business and by stage of the policy life cycle.

Underwriting

Quotes, health questionnaire, special conditions, refusal to insure, extra premium, coverage exclusions.

Policy administration

Endorsements, change of vehicle or address, certificates, green card, cancellation, automatic renewal.

Premiums

Premium notice, payment schedule, increase, rejected debit, refund of unearned premium, formal notice.

Claims

First notice of loss, handling time, assessment or second assessment, deductible, liability, denied claim.

Settlement

Amount offered, settlement time, depreciation, subrogation against the third party, approved garage, health expense reimbursement.

Distribution and service

Agent or broker advice, bancassurance, welcome, contact center availability.

With Complaints Manager, your company…

A solution that follows the policyholder's complaint from filing to final answer, whatever the channel or intermediary.

Brings all channels together

Branch, broker, contact center, customer portal, e-mail, mail: one entry point for every complaint.

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Classifies by line of business and coverage

Motor, home, health, protection, life, commercial: a classification that routes each case to the right department.

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Meets deadlines

Acknowledgement, response times and escalations configured by severity and line of business.

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Gets policy and claims teams working together

The case is shared between handlers, loss adjusters, legal and the network, with a full history.

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Tracks key indicators

Volumes, reasons, response times and rate of justified complaints by product and intermediary.

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Measures policyholder loyalty

NPS and satisfaction surveys after handling to reduce cancellations.

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Advanced modules for insurance

Automate the production of replies and secure the documents in every case.

Document publishing

Produce reply, decision and settlement offer letters from approved templates.

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RPA Dispatcher

Distribute complaints automatically by line of business, intermediary or amount at stake.

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Workflow

Configure your circuits: handler, loss adjuster, legal, technical management, mediation.

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Digital signature

Have settlement agreements and compensation offers signed electronically.

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Integrated EDM

Keep accident reports, assessment reports, invoices and policies in the complaint file.

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Chatbot

Keep policyholders informed at any time about their complaint status or missing documents.

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Example: the workflow of a motor claim complaint

A policyholder disputes the compensation offered after a car accident.

  1. 1

    Received by the intermediary

    The policyholder visits their agent; the complaint is entered in Complaints Manager and linked to the policy and claim number.

  2. 2

    Automatic routing RPA Dispatcher

    Classified as "Motor – disputed compensation", it is sent to the portfolio's claims handler, with a copy to the agent.

  3. 3

    Complete file Integrated EDM

    Accident report, assessment report, repair quotes and invoices are gathered in the case EDM.

  4. 4

    Decision circuit Workflow

    Workflow: claims handler → second assessment if needed → approval by the claims manager above a set amount → decision; escalation to the complaints department if the deadline is exceeded.

  5. 5

    Offer drafted Document publishing

    The reply or new settlement offer is generated from a compliant template.

  6. 6

    Agreement signed Digital signature

    The policyholder signs the settlement agreement electronically; payment is triggered and the case closed.

The indicators followed by your management

✓

Complaint rate by line of business and product

✓

Average response time and compliance with supervisory deadlines

✓

Share of complaints about claims and settlements

✓

Rate of justified complaints and cost of revised settlements

✓

Number of cases referred to mediation

✓

Cancellation rate after a complaint and NPS

Allianz

Reference

Reference

Allianz trusts Complaints Manager

Allianz is one of Complaints Manager's references in the insurance sector. Discover the companies that trust us.

  • A solution suited to the requirements of insurance companies
  • Complaints traced from receipt to closure
See our references

Frequently asked questions

?

Does Complaints Manager cover supervisory authority requirements?

Deadlines, history and reporting statements are configured according to your obligations. Each complaint keeps a record of every action and decision.

?

Can intermediaries record complaints?

Yes: agents and brokers have dedicated access to record and track their customers' complaints, with rights limited to their portfolio.

?

Can the complaint be linked to the claim file?

Yes: the complaint is linked to the policy and claim number, and data are retrieved from your management system through the API Manager.

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How do you tell a complaint from a simple request?

The information request module qualifies requests and complaints separately, for reliable statistics.

Thinking about digitalizing your company's complaint management?

Let's talk about your claims, policy and premium complaints and see together how Complaints Manager fits them.

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