AI Insurance Claims Orchestration
This AI solution uses AI to triage, validate, and process insurance claims end-to-end across property, casualty, and medical lines. By automating document intake, fraud checks, coverage validation, and payment decisions, it accelerates claim resolution, reduces manual effort, and improves payout accuracy and customer experience.
The Problem
“Claims are stuck in manual triage and validation, inflating cycle time, leakage, and costs”
Organizations face these key challenges:
Adjusters spend hours re-keying data from PDFs, emails, images, and portal uploads into core claims systems
Cycle times spike during CAT events/seasonal peaks, creating backlogs, SLA breaches, and poor NPS
Inconsistent coverage decisions and documentation quality across handlers leads to rework, disputes, and leakage
Fraud checks and vendor steps (police reports, medical coding, repair estimates) happen late and are hard to audit