Skip to main content

Pega Marketplace

Zero Leak Claims

Zero Leak Claims is an AI-powered solution that reduces claims leakage, accelerates processing, improves productivity, lowers costs, and enhances compliance and customer satisfaction for insurers.

By using or submitting listings via the Pega Marketplace, you agree to our Terms of Use.

Overview

Zero Leak Claims (ZLC) reimagines claims processing with a layered intelligence model, applying AI-driven controls at each stage to prevent value leakage. Core use cases include AI-Guided FNOL & Intake Intelligence for reduced rework and improved data quality, Confidence-Based Claim Triage for accurate routing, and Intelligent Adjuster Workspace for enhanced productivity, Closed-Loop Optimization enhances underwriting with feedback and analytics, improving loss ratios and risk selection, Agentic Claims Assistants reduce cognitive load, while Straight-Through & Assisted Processing ensures faster settlements and AI Compliance Reviewer minimizes legal exposure. Business outcomes include a 3–5% reduction in claims leakage and loss adjustment expenses, 30–50% faster claim cycle times, reduced manual effort, improved loss ratios, better recovery identification, lower compliance risk, and enhanced customer satisfaction and retention.

Key Features

  • 1. AI Claims Processing
  • 2. Claims Leakage Prevention
  • 3. Automated FNOL
  • 4. Intelligent Triage
  • 5. AI-Powered Adjuster Tools
  • 6. Compliance Automation
  • 7. Real-Time Claims Decisions
  • 8. Unified Claims Management
  • 9. Seamless AI Integration
  • 10. Faster Claims Settlements

Resources

 =PORG-330.png

Partner Name

Credera

Tags

Offering Type

Component
Share this page Share via X Share via LinkedIn Copying...
Copied!

We'd prefer it if you saw us at our best.

Pega Community has detected you are using a browser which may prevent you from experiencing the site as intended. To improve your experience, please update your browser.

Close Deprecation Notice