Enterprise Insurance Provider — Insurance

Agentic Claims Processing

Autonomous multi-agent system that processes insurance claims from ingestion to settlement with human-in-the-loop oversight.

Agentic AIDocument AIAutomationROI Focused

The Challenge

Manual claims processing took an average of 14 days, involving multiple hand-offs between document reviewers, adjusters, and payment teams. The backlog was causing customer churn and high operational overhead.

Our Approach

We designed an agentic workflow where a 'Document AI' agent extracts data from claims, a 'Policy' agent validates coverage, and a 'Fraud' agent flags anomalies for human review. Low-risk claims (under £5,000) are processed for settlement autonomously within minutes.

Results

Claims processing time reduced from 14 days to 4 minutes
70% reduction in manual handling costs
95% accuracy in automated extraction
ROI achieved within 4 months

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