Intelligent Claims Triage with AI

Automatically classify, prioritize, and route insurance claims using AI-powered analysis for faster resolution and improved accuracy.

How It Works

1. 1

   Claim Ingestion

   Claims are received via multiple channels and normalized into a standard format

2. 2

   AI Analysis

   Machine learning models analyze claim content, attachments, and historical patterns

3. 3

   Classification

   Claims are categorized by type, complexity, and priority level

4. 4

   Routing

   Claims are automatically routed to the appropriate queue or straight-through processing

5. 5

   Monitoring

   Continuous learning from outcomes improves future triage accuracy

Key Metrics