Insurance — Claims Summaries

Insurance — Claims Summaries

Normalize forms, detect gaps. ⚡ 2–3× faster processing, less fraud leakage.

Acquire

• Intake forms, adjuster notes, images
• Policy data & coverage rules

Enrich

• OCR + structure; doc similarity; PII handling
• Fraud heuristics & red flags

Reason

• Summarize claim; highlight missing info
• Recommend next actions

Orchestrate

• Route to adjuster; request docs; log outcomes
• Compliance audit trail

KPIs & Outcomes

• Processing 2–3× faster
• Leakage ↓

Pilot Rollout

1. Pilot 1 LoB
2. Define fraud rules
3. Close loop on outcomes