84% prediction accuracy rate of top 3 claim categories

84% prediction accuracy rate of top 3 claim categories

84% prediction accuracy rate of top 3 claim categories

Automaise applied Machine Learning to analyse claims submission history and predict mediator inputs during the claim reporting process

Client

Large property and casualty insurance group

Solutions

Industry

Insurance

Timeline

4 weeks

About the project:

This client is a large property and casualty insurance group where claim reporting processes, managed through mediators, were error-prone and required extensive manual input. This affected handling speed and efficacy, causing unnecessary delays for policyholders and increasing overhead costs.

What we did:

Clients' Main Achievements using AI in Customer Service

  • 84% prediction accuracy rate for the top 3 claim categories

  • 45% improvement in claim management efficiency

  • Reduced Average Handling Time (AHT)

  • Results delivered in 4 weeks


The challenge

The client faced several operational challenges:

  • Mediator-driven claim reporting flows were prone to error and required heavy human input

  • Delays in handling affected policyholder experience and increased operational costs


The solution

The client implemented Automaise's AI-driven automation solutions:

  • Automaise applied Machine Learning to analyse claims submission history and predict mediator inputs during the claim reporting process

  • The solution was trained on a dataset of claim submissions and contextual data

  • User experience improved and error rates decreased as a result

Impact:

84%

prediction accuracy for top 3 categories

45%

improvement in claim management efficiency

Reduced

AHT

Client

Large property and casualty insurance group

Solutions

Industry

Insurance

Timeline

4 weeks

About the project:

This client is a large property and casualty insurance group where claim reporting processes, managed through mediators, were error-prone and required extensive manual input. This affected handling speed and efficacy, causing unnecessary delays for policyholders and increasing overhead costs.

What we did:

Clients' Main Achievements using AI in Customer Service

  • 84% prediction accuracy rate for the top 3 claim categories

  • 45% improvement in claim management efficiency

  • Reduced Average Handling Time (AHT)

  • Results delivered in 4 weeks


The challenge

The client faced several operational challenges:

  • Mediator-driven claim reporting flows were prone to error and required heavy human input

  • Delays in handling affected policyholder experience and increased operational costs


The solution

The client implemented Automaise's AI-driven automation solutions:

  • Automaise applied Machine Learning to analyse claims submission history and predict mediator inputs during the claim reporting process

  • The solution was trained on a dataset of claim submissions and contextual data

  • User experience improved and error rates decreased as a result

Impact:

84%

prediction accuracy for top 3 categories

45%

improvement in claim management efficiency

Reduced

AHT

Client

Large property and casualty insurance group

Solutions

Industry

Insurance

Timeline

4 weeks

About the project:

This client is a large property and casualty insurance group where claim reporting processes, managed through mediators, were error-prone and required extensive manual input. This affected handling speed and efficacy, causing unnecessary delays for policyholders and increasing overhead costs.

What we did:

Clients' Main Achievements using AI in Customer Service

  • 84% prediction accuracy rate for the top 3 claim categories

  • 45% improvement in claim management efficiency

  • Reduced Average Handling Time (AHT)

  • Results delivered in 4 weeks


The challenge

The client faced several operational challenges:

  • Mediator-driven claim reporting flows were prone to error and required heavy human input

  • Delays in handling affected policyholder experience and increased operational costs


The solution

The client implemented Automaise's AI-driven automation solutions:

  • Automaise applied Machine Learning to analyse claims submission history and predict mediator inputs during the claim reporting process

  • The solution was trained on a dataset of claim submissions and contextual data

  • User experience improved and error rates decreased as a result

Impact:

84%

prediction accuracy for top 3 categories

45%

improvement in claim management efficiency

Reduced

AHT