58% of medical claims fully automated
58% of medical claims fully automated
58% of medical claims fully automated
Automaise built a cognitive automation solution that mimics the decision-making of paramedics to automate medical claim approvals
About the project:
This client is a large health insurance provider processing high volumes of medical claims, previously handled entirely by human staff. The manual process was slow, costly and unable to scale efficiently to meet growing demand.
What we did:
Clients' Main Achievements using AI in Customer Service
58% of medical claims fully automated
10x lower cost per approval
98% accuracy rate
Approval time reduced to 30 minutes
The challenge
The client faced several operational challenges:
100% of medical claims were processed manually
Each claim took an average of 2.5 days to approve
High operational costs and limited scalability
The solution
The client implemented Automaise's AI-driven automation solutions:
Automaise built a cognitive automation solution that mimics the decision-making of paramedics to automate medical claim approvals
The level of automation increases continuously as more data is processed
The insurer can now dedicate human resources exclusively to highly complex cases
Impact:
58%
of medical claims fully automated
10x
lower cost per approval
98%
accuracy rate
About the project:
This client is a large health insurance provider processing high volumes of medical claims, previously handled entirely by human staff. The manual process was slow, costly and unable to scale efficiently to meet growing demand.
What we did:
Clients' Main Achievements using AI in Customer Service
58% of medical claims fully automated
10x lower cost per approval
98% accuracy rate
Approval time reduced to 30 minutes
The challenge
The client faced several operational challenges:
100% of medical claims were processed manually
Each claim took an average of 2.5 days to approve
High operational costs and limited scalability
The solution
The client implemented Automaise's AI-driven automation solutions:
Automaise built a cognitive automation solution that mimics the decision-making of paramedics to automate medical claim approvals
The level of automation increases continuously as more data is processed
The insurer can now dedicate human resources exclusively to highly complex cases
Impact:
58%
of medical claims fully automated
10x
lower cost per approval
98%
accuracy rate
About the project:
This client is a large health insurance provider processing high volumes of medical claims, previously handled entirely by human staff. The manual process was slow, costly and unable to scale efficiently to meet growing demand.
What we did:
Clients' Main Achievements using AI in Customer Service
58% of medical claims fully automated
10x lower cost per approval
98% accuracy rate
Approval time reduced to 30 minutes
The challenge
The client faced several operational challenges:
100% of medical claims were processed manually
Each claim took an average of 2.5 days to approve
High operational costs and limited scalability
The solution
The client implemented Automaise's AI-driven automation solutions:
Automaise built a cognitive automation solution that mimics the decision-making of paramedics to automate medical claim approvals
The level of automation increases continuously as more data is processed
The insurer can now dedicate human resources exclusively to highly complex cases
Impact:
58%
of medical claims fully automated
10x
lower cost per approval
98%
accuracy rate
