Automated Claims Adjudication
for a leading insurance provider in the P&C segment.
The client is one of the largest Property & Casualty Insurance service providers offering services in multiple geographies across the globe.
Automate the claims adjudication process from the traditional manual process.
Bring down the processing costs of claims adjudication to get an edge over the competitors.
Bring down the processing time of claims adjudication to get an edge over the competitors.
Using the Knowledge Graphs, we structured policy clauses, regulations, claims data etc. and created machine-readable logic representations of policy terms for easy automation.
Create machine-readable logic representations of policy terms and automated processes to provide real-time recommendations for consistent decisions.
Automated computable contracts generation and created machine-readable logic representations of policy terms.
RDF Graph Database
GPT-4 AI Engine
React on Frontend
Complexities in merging diverse data sources
Achieving precise natural language understanding.
Adhering to evolving legal and regulatory standards.