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An insurance company cut claims processing time by 65% and improved customer satisfaction by 40%

65%Processing time cut
+40%Customer satisfaction
-70%Status inquiry calls
Complex cases onlyAdjuster focus

The challenge

Claims adjusters manually reviewed each submission, requested missing documents by email, assessed damage from photos, and calculated payouts using spreadsheets. Average processing time was 18 days. Customers had no visibility into claim status and called the support line repeatedly. Complex claims sat in queues for weeks.

What we built

We built an end-to-end claims automation system. AI triages incoming claims by type and complexity at submission. An OCR and classification pipeline extracts data from uploaded documents and flags missing information instantly. For straightforward claims, AI-assisted assessment calculates payouts using historical data and policy rules. Customers receive real-time status updates via WhatsApp. Complex claims are routed to senior adjusters with a pre-built assessment summary.

Results

Average claims processing time dropped from 18 days to 6. Customer satisfaction scores improved by 40%. Support call volume related to status inquiries dropped by 70%. Adjusters focused their expertise on complex cases instead of routine paperwork.

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