Claims Automation Platform
Enterprise-grade AI-powered claims processing with real-time document verification
99.7% Accuracy Rate
85% Faster Processing
24/7 Real-time Processing
Claims Processing Workflow
How claims are processed from submission to decision
1
Claim Submission
Customer submits claim with required documents
How it works:
- Online claim form submission
- Document upload (Policy, Photos, Reports)
- Initial data validation
- Claim number generation
2
Document Processing
AI analyzes and verifies all uploaded documents
How it works:
- OCR text extraction
- Document authenticity verification
- Policy coverage validation
- Damage assessment from photos
- Fraud detection analysis
3
AI Risk Assessment
Machine learning models evaluate claim risk and validity
How it works:
- Historical pattern analysis
- Risk scoring algorithm
- Fraud probability calculation
- Claim amount validation
- Policy compliance check
4
Human Review (if needed)
Complex cases flagged for human expert review
How it works:
- High-risk claim review
- Complex damage assessment
- Policy interpretation
- Legal compliance check
- Expert decision making
5
Decision & Approval
Final claim decision and payment processing
How it works:
- Automated approval (low-risk claims)
- Manual approval (complex cases)
- Payment processing setup
- Customer notification
- Claim closure
How Claims Are Processed
Automated Processing
- • AI analyzes documents and extracts information
- • Machine learning models assess risk and validity
- • Low-risk claims are automatically approved
- • High-risk claims are flagged for human review
Human Review
- • Complex cases reviewed by insurance experts
- • Policy interpretation and legal compliance
- • Final decision and payment processing
- • Customer notification and claim closure