Insurance Claims Platform

A digital-first claims management system that uses AI to assess damage, detect fraud, and automate processing for faster settlements.

The Challenge

An insurance company struggled with claims operations:

• Slow processing - Weeks to settle simple claims
• Fraud losses - Millions lost to fraudulent claims
• Manual assessment - Adjusters visiting every claim
• Poor experience - Customers frustrated with delays

They needed intelligent, automated claims.

Our Approach

We built an AI-powered claims platform for the digital age.

Digital Claims Strategy

1. Self-Service - Customers file claims themselves
2. AI Assessment - Automated damage evaluation
3. Fraud Detection - ML-powered fraud scoring
4. Straight-Through Processing - Automatic approval for clean claims

The Solution

Customer Portal

• Mobile-first claim filing
• Photo and video upload
• Document submission
• Real-time status tracking

AI Damage Assessment

• Computer vision for damage
• Repair cost estimation
• Parts and labor pricing
• Severity classification

Fraud Detection

• Pattern recognition
• Network analysis
• Document verification
• Risk scoring

Claims Processing

• Automated workflows
• Adjuster assignment
• Vendor management
• Payment processing

Technology Stack

Results & Impact

The platform transformed claims operations:

• 70% faster claims processing
• 40% less fraud through AI detection
• 90% self-service claim initiation
• 50% lower operational costs

AI Features

Damage Recognition

• Vehicle damage assessment
• Property damage evaluation
• Injury claim analysis
• Total loss determination

Fraud Prevention

• Duplicate claim detection
• Suspicious pattern alerts
• Provider fraud networks
• Document authenticity

Client Testimonial

"Simple claims now settle in hours instead of weeks. The fraud detection alone saved us more than the platform cost in the first year."

— Chief Claims Officer, Insurance Company

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Modernizing claims? Contact us to discuss insurtech solutions.