Autonomous Claims Triage for a Mid-Market Insurer
A mid-market property insurer processed over 800 claims per week. Each claim required a handler to open the submission, extract the key fields, cross-reference policyholder data, apply initial triage criteria, and route to the appropriate specialist team. Average handling time per claim: 22 minutes. We deployed a Cognitive Document Processing system trained on their claims taxonomy and policy database. The system now receives, extracts, validates, scores, and routes claims without human touch in the standard flow. Handlers receive pre-triaged, pre-verified claim packages — and only review the 8% of submissions that fall outside automated confidence thresholds.