Intelligent Claims Management in the Insurance Sector
THE PROBLEM
For one of the world’s oldest general insurance companies, claims management, particularly in the pet insurance sector, was a highly manual and time-consuming process. The high volume of documentation to review slowed response times and limited operational capacity. The company wanted to use AI to streamline workflows, reduce manual review, and enhance overall service quality.
THE SOLUTION
The company adopted Expert.ai’s artificial intelligence solution to automate document understanding and extraction of meaningful data, analyzing the claim described in the file to determine whether it is covered by the policy. The solution identifies document types, extracts key data points and classifies each claim by content, accelerating decision making and improving consistency.
With this integration, the team can process more claims and deliver accurate decisions much faster than manual review. Claims handlers are able to spend more time on higher-value tasks that require human judgment, significantly reducing customer response times. The extracted data strengthens anti-fraud checks and reduces unnecessary payouts, helping improve cost control.
BENEFITS
- 5%+ reduction in erroneous payouts
- Up to 90% reduction in manual document review time
- 75% reduction in overall claims review time
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