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Implementation of an AI-Powered Claims Processing and Customer Support System for Automating Flight Compensation Services
  1. case
  2. Implementation of an AI-Powered Claims Processing and Customer Support System for Automating Flight Compensation Services

Implementation of an AI-Powered Claims Processing and Customer Support System for Automating Flight Compensation Services

qubiz.com
Legal
Business services

Pain Points in Flight Claims Management and Customer Support

Managing over 25,000 flight compensation claims annually, with around 10,000 processed per year, presents significant operational challenges. Tasks such as categorizing claims, responding to customer inquiries, extracting data from legal and travel documents, and handling external data sources are time-consuming and prone to delays. This results in increased workload for staff, delayed responses to customers, and difficulty scaling operations efficiently.

About the Client

A regional legal services provider specializing in flight compensation and related claims management, handling a high volume of customer requests and legal documentation.

Goals for Developing an Automated Claims Processing and Support Platform

  • Reduce manual effort in claims classification, documentation, and response handling by implementing AI automation.
  • Increase claim processing speed, aiming to process or assess 10,000 claims annually with higher accuracy.
  • Provide 24/7 first-level support via AI chatbots and automated email responses to improve customer experience.
  • Integrate external data sources, such as weather reports and flight delay notifications, to support claim assessments.
  • Enable management of legal documents, customer communications, and payments through a unified, streamlined back-office solution.
  • Implement predictive analytics to identify claims with higher likelihood of success, improving decision-making efficiency.

Core Functional System Features for Claims Automation and Customer Support

  • AI-powered claim categorization to automatically sort and prioritize incoming claims.
  • Conversational AI chatbots using NLP to provide 24/7 instant support for customer inquiries regarding claim status, documents required, delays, and process guidance.
  • Machine learning models for predicting claim approval probabilities based on historical data, airline responses, and customer communications.
  • Automated extraction and verification of legal and travel documents (passports, tickets) using ML models and NLP techniques.
  • Integration with external data sources, like weather reports and flight delay alerts, to inform claim assessment.
  • API integrations with third-party services such as transportation and taxi providers for expanded coverage and support.
  • Unified back-office management platform for handling email notifications, digital signing, payment processing, and analytics dashboards.

Preferred Technologies and Architecture for the Claims Automation System

NLP and machine learning frameworks (e.g., ChatGPT, LUIS, Microsoft Bot Builder) for conversational AI
AI and ML models for prediction and classification tasks
API-driven architecture for integrations with external data sources and third-party services
Cloud-based scalable hosting environment to support high-volume processing and 24/7 support
Secure data storage compliant with legal and privacy standards

Essential External System Integrations for Enhanced Claims Handling

  • Weather data providers
  • Flight delay notification systems
  • Airline response feeds
  • Legal document verification platforms
  • Third-party service APIs (e.g., car rentals, taxis)
  • Payment gateway systems

Key Non-Functional System Requirements

  • System scalability to handle increasing case volumes beyond 10,000 claims per year
  • High availability with 99.9% uptime for customer support services
  • Fast response times for AI-driven interactions (e.g., under 2 seconds for chat responses)
  • Data security and privacy compliance, especially regarding legal and personal data
  • Continuous learning capabilities for machine learning models with iterative accuracy improvements

Projected Business Impact of the Claims Automation System

Implementation of this integrated AI-powered claims processing and customer support system is expected to significantly enhance operational efficiency, enabling processing of over 10,000 claims annually with greater accuracy and speed. Customer satisfaction will improve through 24/7 support and faster responses, while manual labor costs decrease. The solution's predictive analytics will aid in better decision-making, ultimately leading to increased success rates for claims and higher customer retention rates.

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