Core AI Development Insurance

Insurance Claims Processing Automation

Deep Learning for Document Understanding

Client Profile

Processing 2.5 million claims annually across auto, property, and casualty lines with $50B in premiums

Key Results & Impact

Processing Time

78% reduction (14 days → 3 days)

Fraud Detection

4.5x improvement (15% → 67%)

Annual Savings

$89M from fraud prevention

Customer Satisfaction

34 NPS points improvement

Straight-through Processing

85% for simple claims

The Challenge

Manual claims processing averaged 14 days with 35% requiring multiple reviews due to documentation errors. Fraud detection relied on rule-based systems catching only 15% of fraudulent claims.

Our Solution

Deployed transformer-based document understanding model (BERT variant), convolutional neural networks for damage assessment from images, and graph neural networks for fraud pattern detection with multi-modal fusion.

Technologies & Tools

PyTorch BERT CNN Graph Neural Networks Azure ML Redis Elasticsearch Apache Airflow

Technical Implementation

Architecture

Multi-modal deep learning system with transformer-based NLP

Data Processing

Custom vision transformer for 50+ damage types, Semi-supervised learning with 10M unlabeled documents

ML Models

Hierarchical attention networks for document parsing, Zero-shot learning for new claim types

Integration

Redis for low-latency caching (sub-10ms), Apache Airflow for workflow orchestration

Business Impact

Revolutionized claims processing with 78% time reduction, 4.5x fraud detection improvement, and $89M annual savings.

Case Study Details

Industry: Insurance
Service: Deep Learning
Category: Core AI Development
Client: Top-10 global insurance provider

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