Insurance Claims Processing Automation

Every claim arrived as a stack of documents that someone had to read, key into the claims system, verify against the policy, and walk through an approval chain. Each manual step added days, and each retyped field added error risk.

Customers filing claims were already having a bad week; a 21-day average resolution made it worse, and the call center absorbed the frustration as a steady stream of status inquiries that adjusters had to interrupt real work to answer.

We built an intelligent claims automation system. OCR extracts information from submitted documents — forms, photos, invoices, reports — and a validation layer checks the extracted details against policy rules automatically, flagging mismatches for human review instead of relying on humans to spot them.

Clean claims route directly to the right adjuster based on claim type, complexity, and workload, and customers receive real-time status updates by text at every stage. Adjusters open claims that are already assembled and pre-validated.

Average claim processing time fell from 21 days to 3. Manual data entry dropped 87%, and claim accuracy improved 52% — fewer reworks, fewer disputes, cleaner reserves.

Customer satisfaction rose 38%, helped as much by the proactive status updates as by the speed itself. People tolerate process when they can see it moving.