RG 271 Compliance

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automating your compliance requirements
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Supervision in the claims decision-making process reduces unsubstantiated claim rejections and discrimination. To support an efficient claims process that is fair, transparent, and compliant, Cognitive View AI & Big data analytics can help.

Cognitive View provides the proper foundation necessary to establish a systemic approach to develop compliance and conduct risk monitoring.

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Resolve claim-related disputes in a compliant manner, learning from good industry practices and AFCA’s historical disputes.

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Download the white paper to know more about Cognitive View’s Claims Handling assessment

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Supporting your compliance objectives

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Complaints detection

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Complaints process management

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RG 271 compliance

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Key features

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AFCA Insights

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A complete suite of customized policies and obligations for you to meet your compliance obligations and company policies.

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Industry benchmark comparison

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Communication monitoring to support risk-based supervision.

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Complaints escalation prevention

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Analytics and reporting to support operational risks.

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How the technology will help

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Policies and guidelines to drive an efficient, fair, and compliant claims process

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Police governance & change management

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Supervise & monitor the communication channels for control automation

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Audit & reporting to address problems before they escalate

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Call recording & archiving for audit

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Risk-based supervision & predictive analytics

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Incident & breach management

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Support customer vulnerability

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Claims related dispute trends from AFCA Insights

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Claim dispute is the top reason for complaints in the general insurance category

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Top issues for claims related disputes

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AFCA has made more decisions in favour of Financial firms for disclosure related disputes

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Insurance Contracts Act is the top legislation related to compliance failures

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What is AFCA’s decision outcome looks for fraudulent claims

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Emerging trends because of COVID-19

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How AFCA Insights will help

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Learn

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from historical disputes & risk insights

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Review

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operational model & compliance gaps

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Enhance

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automate process & control monitoring

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Predict

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customer concerns and complaints

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How we can help

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Cognitive View’s technology can be augmented with claims expertise and advisory services from our partner firm Finity Consulting.

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How Cognitive View Regtech can help

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Policies & obligations to drive an efficient, fair, and compliant claims process requirements
Regulatory change management
Supervise & monitor the communication channels including contact centre for compliance & conduct risk
Call recording & archiving for audit
Risk-based supervision & predictive analytics
Incident & breach management
Resolve claim-related disputes & support complex claims by learning from disputes lodged at AFCA’s historical data

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How Finity Consulting can help

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Evaluate and optimise claims operations model and compliance performance
Gap analysis against CFS requirements
Strategic advice on obtaining AFSL or establishing as an AR for claims handling
CFS compliance readiness framework for providers
Harness data opportunities including AI
Incorporate claims risks into your risk management framework
Support legal requirements

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Are you ready to transform & streamline your complaints management process in tune with the AFCA regulations? Try our automated insights to give you the guidance you need.

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Insights from our blog

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