Insurance & Risk Management
Insurance Claims Automation Platform
Client: Leading Insurance GroupDuration: 12 monthsTeam Size: 18 engineers
7x
Faster Claims Settlement
99.5%
Processing Accuracy
40%
Fraud Reduction
$3.2M
Annual Savings
The Challenge
What We Were Asked to Solve
The client processed 50,000+ claims monthly using manual review workflows. Claims took 15+ days to settle, 15% of claims had errors, and fraud detection was largely manual. The business was losing $2M+ annually to processing inefficiencies and undetected fraud.
Our Solution
How We Solved It
We built an AI-powered claims management platform with automated document ingestion using OCR, ML-based fraud detection scoring, automated policy verification, and intelligent workflow routing. Claims under a threshold value were settled automatically with zero human intervention.
Impact Delivered
Key Outcomes
Claims processing time reduced from 15 days to 2 days
70% of low-complexity claims settled with zero human intervention
Fraud detection accuracy improved from 65% to 93%
Customer satisfaction score increased from 3.2 to 4.7 out of 5
Processing team redeployed to higher-value investigation work
Technologies Used
.NET 8PythonAzure Cognitive ServicesAzure MLReactPostgreSQLDocker
“
BizOpsHub delivered a platform that fundamentally changed how we process claims. The ROI was clear within the first quarter of deployment.
Sarah Mitchell
VP Technology, Insurance Group
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