FR

File Review
Module

The OtoAnaliz File Review Module is an advanced platform that allows insurance companies to manage all their claims and legal processes end-to-end and under full control, from a single screen.

claims
legal
single screen
/ 01 · ORGANISATION

The system makes the organisational structure fully manageable in a digital environment through file owner assignment, file status management, user roles and permissions.

Operational steps such as team building, task assignment and process tracking are standardised.

Team building Task assignment Process tracking
01
Specialist
02
Supervisor
03
Manager
04
AGM
/ 02 · PARAMETRIC STRUCTURE

The parametric structure makes it easy to configure committee and board approval mechanisms.

01
user permissions
02
signature and limit management (1st / 2nd signature)
03
adverse-decision approval flows (denial, out-of-cover, below deductible)
04
committee and board approval mechanisms
/ 03 · MODULE

Module;

01

SBM and external system queries (total loss, policy, traffic accident report, claim history)

02

Automatic checks on policy and vehicle data (chassis, engine, deductible, collection)

03

Liability and recourse processes with counterparty management

04

Invoice entry and automatic financial calculations (VAT, withholding, stoppage)

05

Bulk payment and automatic payment-scheduling infrastructure

06

Payment-day creation for every payment type (indemnity, supply, mobile repair, etc.)

07

Document management and missing-document tracking

08

File notes, messaging and communication management

and other critical processes are managed from a single platform.

/ 04 · TRANSPARENCY & STAKEHOLDERS

The system also delivers operational transparency through file history tracking, audit logs, automatic letter generation and bulk recourse operations.

file history tracking
audit logs
automatic letter generation
bulk recourse operations (in favour / against)

All stakeholders, including medical, actuarial and mediation firms, are brought into the process within the same architecture.

Medical
Actuarial
Mediation firms
/ 05 · AI + DASHBOARD
01 · ARTIFICIAL INTELLIGENCE

Through AI-powered control mechanisms and fraud rules, risky and erroneous transactions are detected at an early stage, strengthening cost and process management.

02 · DASHBOARD

With advanced dashboard and reporting infrastructure, executives can monitor every operation in real time and manage performance and cost in a data-driven way.

The File Review Module brings
speed, standardisation, transparency and full control to insurance operations.

speed standardisation transparency full control