[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"cms-detail-apps-pega-claims-for-insurance-pt":3},{"data":4,"meta":99},[5],{"id":6,"documentId":7,"name":8,"slug":9,"short_description":10,"long_description":11,"features":12,"use_cases":20,"functionality_overview":24,"tags":25,"app_url":29,"sort_order":30,"createdAt":31,"updatedAt":32,"publishedAt":33,"locale":34,"partner":35,"icon":51,"seo":51,"localizations":52},348,"v83uw0b8bzz0qyhta1aqd2ja","Pega Claims for Insurance","pega-claims-for-insurance","A claims management solution that modernizes workflows with AI-driven insights and automation to enhance customer satisfaction.","Pega Claims for Insurance is an advanced claims management solution that leverages intelligent workflows and AI decisioning to modernize customer journeys in claims processing. It focuses on reducing expenses while increasing operational capacity through automation and AI-driven insights. The application aims to boost adjuster efficiency, improve claims outcomes, and ultimately enhance customer satisfaction and retention by streamlining the entire claims process from initiation to settlement.",[13,14,15,16,17,18,19],"End-to-end claims lifecycle management","Automated claims triage and routing","Real-time claims status tracking","Fraud detection and prevention","Document management and storage","Integration with third-party data providers","Analytics and reporting dashboard",[21,22,23],"An insurer can automate first notice of loss intake, reducing claim processing time by up to 60%.","A claims adjuster can leverage AI-powered triage to prioritize high-value claims for immediate attention.","A TPA can provide real-time claim status updates to policyholders through a self-service portal.","Pega Claims modernizes the insurance claims process by leveraging AI-driven insights combined with intelligent workflows that enhance operational efficiency while improving overall customer satisfaction.",[26,27,28],"Distribution & Underwriting","Claims","Policy Admin","https://www.pega.com",0,"2026-03-15T13:08:38.970Z","2026-04-12T10:58:36.442Z","2026-04-12T10:58:36.449Z","en",{"id":36,"documentId":37,"name":38,"slug":39,"description":40,"website":29,"type":41,"featured":42,"createdAt":43,"updatedAt":44,"publishedAt":45,"locale":34,"overview":46,"categories":47,"services":51,"sort_order":30},236,"u6ibj1wgfivqtew8rbqt4h5g","Pega","pega","AI-powered customer service, claims, and underwriting for the insurance industry.","app",false,"2026-03-15T13:08:36.685Z","2026-07-23T02:19:32.361Z","2026-07-23T02:19:32.388Z","Pegasystems delivers AI-powered decisioning and workflow automation for the world's leading insurance companies. Pega Customer Service for Insurance provides omni-channel engagement, Pega Claims streamlines the entire claims lifecycle with AI-guided processing, and Pega Underwriting automates complex risk assessment workflows. Combined with insureMO's Middle Office capabilities, Pega enables carriers to achieve operational excellence.",[48,49,50],"distribution-underwriting","claims","policy-admin",null,[53,76],{"id":54,"documentId":7,"name":55,"slug":9,"short_description":56,"long_description":57,"features":58,"use_cases":66,"functionality_overview":70,"tags":71,"app_url":29,"sort_order":30,"createdAt":72,"updatedAt":73,"publishedAt":74,"locale":75},809,"Siniestros de Pega para seguros","Una solución de gestión de siniestros que moderniza los flujos de trabajo con información basada en IA y automatización para mejorar la satisfacción del cliente.","Pega Claims for Insurance es una solución avanzada de gestión de siniestros que aprovecha los flujos de trabajo inteligentes y la toma de decisiones con IA para modernizar los recorridos del cliente en el procesamiento de siniestros. Se centra en reducir los gastos al tiempo que aumenta la capacidad operativa a través de la automatización y la información basada en IA. La aplicación busca potenciar la eficiencia de los ajustadores, mejorar los resultados de los siniestros y, en última instancia, mejorar la satisfacción y retención del cliente al agilizar todo el proceso de siniestros desde el inicio hasta la liquidación.",[59,60,61,62,63,64,65],"Gestión integral del ciclo de vida de los siniestros","Clasificación y enrutamiento automatizado de siniestros","Seguimiento del estado de siniestros en tiempo real","Detección y prevención de fraudes","Gestión y almacenamiento de documentos","Integración con proveedores de datos externos","Panel de analítica e informes",[67,68,69],"Una aseguradora puede automatizar la recepción de la primera notificación de pérdida, reduciendo el tiempo de procesamiento de siniestros hasta en un 60 %.","Un ajustador de siniestros puede aprovechar la clasificación con IA para priorizar los siniestros de alto valor y atenderlos de inmediato.","Un TPA puede proporcionar actualizaciones del estado de los siniestros en tiempo real a los titulares de pólizas mediante un portal de autoservicio.","Pega Claims moderniza el proceso de siniestros de seguros al aprovechar la información basada en IA combinada con flujos de trabajo inteligentes que mejoran la eficiencia operativa al tiempo que mejoran la satisfacción general del cliente.",[26,27,28],"2026-08-13T08:45:56.084Z","2026-08-13T09:53:58.095Z","2026-08-13T09:53:58.120Z","es",{"id":77,"documentId":7,"name":78,"slug":9,"short_description":79,"long_description":80,"features":81,"use_cases":89,"functionality_overview":93,"tags":94,"app_url":29,"sort_order":30,"createdAt":95,"updatedAt":96,"publishedAt":97,"locale":98},628,"Pega 保険向けクレーム","AI主導のインサイトと自動化によりワークフローを近代化し、顧客満足度を向上させるクレーム管理ソリューション。","Pega Claims for Insuranceは、インテリジェントなワークフローとAI意思決定を活用してクレーム処理におけるカスタマージャーニーを近代化する、先進的なクレーム管理ソリューションです。自動化とAI主導のインサイトを通じて、経費を削減しながら運用能力を向上させることに注力しています。本アプリケーションは査定官の効率を向上させ、クレームの結果を改善し、開始から清算に至るクレームプロセス全体を合理化することで、最終的に顧客満足度とリテンションを向上させることを目指しています。",[82,83,84,85,86,87,88],"エンドツーエンドのクレームライフサイクル管理","自動化されたクレームのトリアージとルーティング","リアルタイムのクレーム状況追跡","不正検出と防止","ドキュメント管理と保存","サードパーティデータプロバイダーとの統合","分析およびレポートダッシュボード",[90,91,92],"保険会社は初回損害通知の受付を自動化し、クレーム処理時間を最大60%削減できます。","クレーム査定官はAIによるトリアージを活用し、高額クレームに優先的に対応できます。","TPAはセルフサービスポータルを通じて保険契約者にリアルタイムのクレーム状況更新を提供できます。","Pega Claimsは、AI主導のインサイトとインテリジェントなワークフローを組み合わせることで保険クレームプロセスを近代化し、運用効率を向上させると同時に全体的な顧客満足度を向上させます。",[26,27,28],"2026-07-29T08:48:45.903Z","2026-07-29T09:21:02.917Z","2026-07-29T09:21:02.938Z","ja",{"pagination":100},{"page":101,"pageSize":102,"pageCount":101,"total":101},1,25]