EXL Smart Data Signals

EXL Smart Data Signals aims to solve for the industry problem of proactive claim leakage management. As per industry estimates, there is around US $6B+ leakage in total claim payouts, at least 50% of which is addressable and preventable. This is due to

• Reliance on point-in-time and episodic analysis versus dynamic and continuous monitoring to detect real-time anomalies
• Siloed approach to data & decisions across operational teams

EXL Smart Data Signals helps to drive better claim and customer outcomes through

• Decreasing Combined Loss Ratio: Proactive claim management enabled by near real-time insights for leakage detection and prevention to ensure accurate settlement to combat eroding Loss Ratio and achieve target cost savings
• Improving Customer & Agent Experience: Proactive customer experience management during claim journeys enabled by near real-time insights for sentiments, potential escalations / complaints, and compliance.
• Driving improved operational efficiency for Claim Leaders: Proactive claim management enabled by near real-time insights to augment Leaders for management of their claim pending to ensure time is spent on value-added activities

• Predict and enable proactive leakage and customer management
• Automate alerts based on a summarization of anomalies detected (powered by generative AI)
• Enable claim leaders to provide the right support to the right claim at the right time
• Augment existing claim quality programs with improved controls for customer experience, loss cost management controls, insights and performance prediction

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