e5 Product

Claims Automation​

An intelligent claims automation product designed to streamline claims processing, reduce manual effort and deliver faster outcomes for your claims teams and your customers.

e5 Claims Automation transforms the traditional manual claims process into AI driven execution where you control what is processed straight through and what is reviewed by your claims team. Data extraction and validation is no longer a requirement, drastically reducing claims processing time while keeping the operational control in your hands.

The problem

Claims teams are under constant pressure to process increasing claim volumes while meeting customer expectations for speed, accuracy and transparency.

Peaks hurt!

When volume spikes it quickly turns into a backlog, creating longer turnaround and member frustration.

The e5 solution

e5 Claims Automation controls the end-to-end claims lifecycle, from claim intake and data extraction through assessment, and approval. It combines intelligent workflows, AI-assisted processing and operational visibility to help organisations manage claims at scale.

Product overview PDF

Traditional approach

Manual claim handling

Data rekeying across systems

First in first out work allocation

Limited visibility

Customers chasing claims outcomes

Inconsistent processing

Reactive management

e5 Claims Automation

Automated claim processing

Intelligent data extraction and validation

Priority driven execution and management

Real-time dashboards, tracking and operational reporting

Configurable business rules and automated decision pathways

Standardised claim handling and governance controls

Faster claim resolution and improved customer outcomes

Maintain control

Automation first

  • Intelligent document capture and classification
  • AI-assisted data extraction
  • Automated work routing
  • Configurable business rules
  • Data changes tracked for further optimisation
  • Exception-based processing

Operational control

  • End-to-end claim visibility
  • SLA and performance monitoring
  • Work allocation and queue management
  • Comprehensive audit tracking

Business outcomes

Reduce processing costs

Eliminate manual effort, reduce rework and improve operational efficiency.

Accelerate claim resolution

Process claims faster and shorten completion timeframes.

Improve customer experience

Complete claims quicker.

Increase productivity

Allow teams to focus on complex and high-value work rather than administrative tasks.

Improve quality and consistency

Standardise processing and reduce errors across the claims lifecycle and upskill resources efficiently.

Sarah Couglin e5 Australia

Learn more

Reach out to Sarah Coughlin for a conversation about what Claims Automation could look like in your organisation, including implementation and ongoing run costs.

Request a strategy session

What e5 Claims Automation customers are saying

st lukes health

75% reduction​

in claims handling times on day 1! ​

"The implementation of e5 Connect and Claims Automation has delivered significant benefits to our organisation. The transition to e5 Connect was seamless, supported by strong collaboration, thorough preparation, and outstanding vendor engagement throughout the project lifecycle. From planning through to go-live and hypercare, all teams involved demonstrated professionalism, responsiveness, and a genuine commitment to our success."
Cassie Eyles
Head of Applications services
“The introduction of Claims Automation has been particularly impactful. Our claims teams quickly embraced the new technology, including staff who have traditionally found system transitions challenging. Early results have shown measurable productivity gains, reduced manual data entry errors, and improved processing efficiency."
Leigh Hutchinson​ St Lukes Health
Leigh Hutchinson
Head of claiming services
"Together, e5 Connect and Claims Automation have modernised our claims processing capability, improved user experience, and positioned us well for future innovation."
Jai Appleby
Manager Claiming Services