Smart Claims
Developed an advanced AI solution determining complex claim coverage by comparing documents to contracts, preventing significant leakage.
Challenge
Automating claim coverage determination by comparing documents to contracts is difficult due to linguistic nuances and dynamic lifecycles. High accuracy and low latency were critical.
Solution
Developed a GenAI solution that accounts for contract intricacies and ensures semantic precision. Used TypeScript functions and Azure orchestration for scalability.
Results
Significantly reduced leakage by preventing blanket claim approvals. Enabled automatic review of claims traditionally falling under threshold-based acceptance.