AI Sales Offer | AI-Powered Claims Underwriting Accelerator

Use case

Insurance | Streamline complex claims with AI-powered processing and underwriting support.

Your value and benefits

Managing complex insurance claims and supporting robust underwriting requires sifting through vast, often unstructured data, interpreting intricate policy details, and assessing nuanced risk factors. Manual processes are slow and prone to inconsistency, leading to delayed resolutions, inaccurate risk assessments, and increased operational costs. This burden prevents adjusters and underwriters from focusing on critical analysis and strategic decision-making, impacting both efficiency and the bottom line.

iData's proven approach to accelerating claims resolution uses Microsoft Azure OpenAI Service and Azure AI Document Intelligence to streamline every stage of the underwriting and claims resolution process. Our solution leverages advanced AI to automate data extraction, analyze complex scenarios, and provide actionable insights, empowering your teams to accelerate resolutions, make more informed decisions, and significantly enhance operational efficiency.

With our solution, you can achieve:

Accelerated claim resolution. Drastically reduce the time required to process intricate claim submissions by automating data extraction and initial assessment.

Enhanced underwriting precision. Improve the accuracy and consistency of risk assessment and policy pricing through AI-driven data analysis and pattern recognition.

Improved fraud detection and anomaly identification. Proactively flag suspicious patterns and potential claims fraud within complex datasets, bolstering security and reducing losses.

Empowered adjusters and underwriters. Provide your teams with immediate access to critical insights and contextual policy information, allowing them to focus on high-value analysis rather than manual data review.

Data-driven decision-making on claims and risks. Gain deeper insights into complex claim trends and underwriting risks through advanced analytics, supporting strategic improvements and actuarial accuracy.

Service type
Consulting service leading to a Proof of Concept (PoC) and phased implementation roadmap.

Deliverables

Detailed assessment report of complex claims, underwriting workflows, and data assets

Architectural design for AI-powered processing and support solution on Azure

PoC demonstrating AI capabilities for a specific complex claim type or underwriting scenario

Performance metrics and impact analysis from PoC (e.g., time saved, improved accuracy)

Recommendations for integration with existing claims management, policy administration, and underwriting systems

Phased implementation roadmap and training plan for adjusters and underwriters

Activities

Discovery workshops to understand complex claims adjudication, underwriting processes, and data sources.

Data readiness assessment and analysis for policy documents, claim narratives, and risk data.

Selection and configuration of relevant Microsoft Azure AI services (e.g., Azure AI Document Intelligence, Azure OpenAI Service, Azure Machine Learning, Azure Cognitive Search).

Development and training of AI models for complex document understanding, risk profiling, and anomaly detection.

Integration planning with your existing core systems (e.g., CRM, policy admin, claims management, actuarial tools).

Deployment of PoC environment on Azure.

Testing, validating, and refining the AI solution in a real-world complex claim or underwriting scenario.

Presentation of PoC results, key findings, and proposed roadmap.

Training for claims adjusters, underwriters, and IT staff on solution usage and maintenance.

Timing

8-12 weeks for the initial PoC and roadmap delivery, customizable to your organization’s specific needs, the complexity of your claims data, and your targeted underwriting outcomes. Full implementation timelines will be defined in the roadmap.

The iData Global difference

As a dedicated Microsoft Partner, iData Global leverages extensive expertise in AI and the full suite of Azure AI services to build robust, scalable solutions that drive real business value for our customers.

iData brings a strong understanding of the unique challenges involved in transforming complex operational processes for insurers. Our focus on automating intricate data analysis and decision-making to enhance customer satisfaction and operational efficiency positions us to rapidly improve claims and underwriting operations with minimal friction.