AI is reshaping insurance. Is Takaful ready for what comes next?

Read the report
RustyStick Technologies

Claims Automation

Building custom solutions for you onOutSystemsplatform

Automate the claims journey end to end. We combine intelligent document processing, rules-based decisioning, and OutSystems orchestration so routine claims settle themselves and your adjusters spend their day on the files that genuinely need them.

Schedule a Consultation

Outcomes

Tangible Results Our Clients Achieve

70%

Claims Handled Straight-Through

Low-complexity claims move from notification to settlement without an adjuster ever touching them.

55%

Less Manual Effort per Claim

Intelligent document processing and automated decisioning remove repetitive keying and chasing.

8 Weeks

To First Automated Workflow

Low-code delivery on OutSystems puts a production automation live in weeks, not quarters.

Draft content — review and adjust the copy and figures to match your delivered results.

How it works

The Automated Claims Pipeline

  1. 01

    Capture

    Ingest claims and supporting documents from every channel and extract structured data automatically.

  2. 02

    Decide

    Apply coverage, fraud, and severity rules to route each claim to straight-through, assisted, or specialist handling.

  3. 03

    Act

    Trigger reserves, vendor assignments, and payment instructions through your existing core systems.

  4. 04

    Learn

    Monitor outcomes, leakage, and exception rates, then tune rules and models continuously.

Capabilities

Key Capabilities of Our Claims Automation Solution

A single automation layer across capture, decisioning, payment, and oversight.

01

Intelligent Document Processing

Read invoices, police reports, medical bills, and photos, then convert them into validated claim data with confidence scoring.

02

Rules-Based Decisioning

Encode coverage checks, thresholds, and authority limits so straight-through eligibility is decided consistently every time.

03

Automated Reserving & Payments

Set reserves and release approved payments automatically within configurable limits and full audit trails.

04

Exception & Escalation Handling

Route only genuine exceptions to adjusters with context attached, so specialist time goes to complex claims.

05

Fraud Signals in the Flow

Score every claim in-flight and hold suspicious files for investigation before money leaves the business.

06

Core System Orchestration

Coordinate policy admin, billing, CRM, and vendor platforms through one automation layer built on OutSystems.

Why RST

What Sets Us Apart

  1. 01

    Lower Cost per Claim

    Automation absorbs volume spikes without adding headcount, cutting the unit cost of every claim handled.

  2. 02

    Faster Settlement

    Simple claims settle in hours instead of days, which is the single biggest driver of claimant satisfaction.

  3. 03

    Reduced Leakage

    Consistent rules and automated checks close the gap between what should be paid and what is paid.

  4. 04

    Audit-Ready by Design

    Every automated decision is logged with its inputs, rule version, and outcome for regulators and internal audit.

WhyChoose RST?

At RustyStick Technologies, we build claims automation that carriers and MGAs can trust in production—fast to deliver, safe to run, and easy to change.

  • Automation with Guardrails

    We automate where the data supports it and keep humans in the loop where judgment matters.

  • Built on OutSystems

    Certified OutSystems delivery means new rules, channels, and integrations ship in days.

  • Insurance-Native Team

    We design around reserving, recoveries, compliance, and adjuster workflows—not generic BPM patterns.

Insights

Dive Deeper into Our Insights

Our latest thinking and case studies.

Ready to TransformYour Claims Automation Experience?

Let's eliminate inefficiencies, improve data accuracy, and maximize claims automation with OutSystems.

Schedule a Consultation