AI in the claims
settlement process

Use AI to automate claims decision recommendations. Speed up case resolution, cut costs, and eliminate inconsistencies in claims assessment.

Better customer service

Faster claim resolution and more predictable outcomes.
Lower operational risk

Consistency in claims handling and regulatory compliance.
Higher workforce efficiency

Automation of routine tasks and support for claims handlers in key decisions.

CHALLENGES

Do these challenges sound familiar?

Growing data complexity – the volume of documents, images, and data sources grows faster than the capacity for manual analysis.
Cost and time pressure – the market demands faster decisions and cost reductions, which are difficult to achieve with traditional methods.
Inconsistent decisions and appeals – lack of process standardisation increases the risk of errors, more customer complaints, and loss of trust.

SOLUTION

What are AI decision recommendations?

Discover a decision recommendation system for claims handlers that transforms complex data into clear and consistent business guidance.

Instead of hours of manual review, managers and teams receive a structured case summary, risk assessment, and a suggested decision — all with full transparency and auditability.

BENEFITS

What do you gain with AI support?

Case summary – key policy, claim, and document data in a single view.
Error detection – quick identification of gaps or contradictions in documentation.
Decision recommendation – suggested approval, rejection, or denial with full justification.
Law-based decisions – every recommendation is backed by legal references.

Confidence level – indication of when AI recommendations can be trusted and when additional verification is required.
Suggested amount – recommended compensation value with rationale.
Document and image analysis – automated extraction of data from files and photos (OCR).
Claims handler support – less routine work, more time for customer care.

WHY IT MATTERS

One solution, all claims, shared benefits

For all claim types

Motor, health, and property claims supported by universal document and data analysis mechanisms.
For end customers

Better experience through faster, consistent, and well-justified decisions.

For Insurers

Higher predictability, fewer appeals, and real operational cost savings.
For claims handlers

Daily support, reduced stress, and more time for cases that require empathy and expert knowledge.