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AI-Powered Claims Automation Platform Development
  1. case
  2. AI-Powered Claims Automation Platform Development

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AI-Powered Claims Automation Platform Development

experionglobal.com
Insurance

Current Claims Processing Challenges

National Insurance Group faces significant challenges due to a manual and data-intensive claims management system. This results in slow processing times, difficulties in collaborating with adjusters, inability to effectively process unstructured field data, scalability issues, and high operational costs. These challenges contribute to customer dissatisfaction and hinder the company's ability to compete effectively in the rapidly evolving insurance market.

About the Client

A large, established US insurance claims adjusting company handling residential, commercial, and catastrophe claims nationwide for over 30 years, seeking to modernize its claims processing operations.

Project Goals

  • Reduce claims processing time by 70%.
  • Lower claims handling costs by 30%.
  • Improve customer satisfaction through faster and more efficient claims settlement.
  • Increase operational transparency and visibility across the claims management process.
  • Enhance fraud detection capabilities.
  • Improve decision-making through data-driven insights.

System Functionality

  • AI-powered damage detection and assessment.
  • Digital claims submission and processing.
  • Automated fraud detection.
  • Integrated payment processing.
  • Mobile application for field inspections (iOS & Android).
  • Dedicated customer portal for claims tracking and communication.
  • Adjuster performance management and team collaboration tools.
  • Reporting and analytics dashboard for data-driven insights.

Technology Stack

.NET framework 4.6
Angular JS
jQuery
CSS
React Native
SQL Server 2016

External System Integrations

  • Payment gateway (e.g., Stripe, PayPal)
  • External data sources for property information (e.g., FEMA, local government)
  • CRM system for customer data synchronization

Non-Functional Requirements

  • Scalability to handle increasing claim volumes.
  • High performance and responsiveness.
  • Robust security to protect sensitive data.
  • Mobile-friendly design for iOS and Android devices.
  • Data privacy and compliance (e.g., HIPAA).

Expected Business Impact

The implementation of the AI-powered claims automation platform is expected to significantly improve National Insurance Group's operational efficiency, reduce costs, enhance customer satisfaction, and enable data-driven decision-making. The anticipated reduction in claims processing time and handling costs will result in substantial financial savings and a competitive advantage. Improved fraud detection will further minimize financial losses and protect the company's bottom line.

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