Automated Insurance Claims

Intelligent automation solution to reduce complex claims document processing time from days to minutes.

SERVICE OFFERS: Intelligent Document Processing

BUSINESS CHALLENGES

The client is a leading international financial services group with principal operations worldwide that helps people make their decisions easier and live better. Their main operations have been in Asia, Canada, and the United States for more than 130 years. The Vietnam branch is proud to be the first foreign life insurance enterprise to be present in the country since 1999.

Traditionally, after discharging from the hospital, the insured individual has to submit various documents to the insurance company by post or directly to Customer Service at the Branch which takes from a week to 10 days to get the claim payment back. This time-consuming handling time affects customer experience and the insurance company’s competitiveness compared with others.

Moreover, manual, paper-based processes are error-prone which may cause financial damage to the company’s reputation. Accordingly, our client is seeking a solution to reduce document processing time with the objective of supporting insured customers to get their Claims approval status in as little as a few minutes.

SOLUTION

DIGI-TEXX builds an automation workflow to extract predefined data fields on hospital discharge papers and extract diagnoses to detect ICD-code.

Our developer builds a BPMN automation workflow and integrates it with up-to-date technologies:

  • Intelligent Data Extraction engine
  • Automatic Correction of Distortion and Tilt
  • Image Pre-Processing
  • Machine Learning
  • Auto QC

BUSINESS OUTCOME

  • Reduce data entry labor by 70%
  • Succeed in automatically classifying documents with up to 98% accuracy rate
  • Processing time per case shortened-up from 15 minutes to 5 minutes
01B. BUSINESS OUTCOME V2
01C. CLIENT FEEDBACK_V2

CLIENT FEEDBACK

“The accuracy rate has been improved continuously. Before: 98.9% vs After: 99.95%”

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