OpenSpan provides solutions for Contact Centers, ERP & CRM Integration, Risk, Fraud and Compliance, BPM/BAM, etc., 
OpenSpan provides industry specific solutions for Insurance, Banking/Financial Services & Telecom. 
OpenSpan Automation Engine™
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Claims processing is an expensive and repetitive process that costs the insurance industry about $2.2 billion each year. Despite the use of existing auto-adjudication programs, payers still manually process between 10 and 50 percent of all claims. That rate can be significantly reduced using the OpenSpan Automation Engine™, a groundbreaking idea for optimizing insurance claim processing. Essentially, the engine replicates the claims examiner's observations and thoughts to streamline and automate claim repairs, virtually eliminating all manual processes.
The claims automation engine manages specialized, reusable components containing business rules and repair actions in a service-oriented architecture. These reusable components, called Reinacts ™ are assembled into customized claims processes that automate repairs. Because it's a uniquely iterative process, you can alter automated business rules quickly to address changes in regulations or policy.
The engine continuously cycles each claim through your Reinacts business rules until all claim repairs that can be resolved, are resolved. It's a powerful claim automation solution that:
- Receives claims data from your core systems
- Makes specific decisions based on business rules you define
- Returns and automates claim repairs
- Repeats the cycle until all issues are resolved
- Provides complete documentation and reporting of all actions taken
Each process informs the engine on the next logical business rule. And, this is accomplished while controlling the tedious tasks involved in managing the claim.
PRODUCT BENEFITS:
The OpenSpan Automation Engine can:
- Run as an appliance in a cloud/SaaS environment
- Integrate directly with your core system
- Rapidly build and implement repair solutions
- Build business rules and actions as specialized reusable components
- Invoke repairs as appropriate
- Accelerate development by reusing business rules and actions across multiple repairs
- Eliminate the need for lengthy process design and elaborate testing
- Allow rapid deployment of insurance process automation for immediate ROI
