Insurance
Claims triage, underwriting risk models, and fraud detection for insurers.
Claims triage speed and fraud detection accuracy directly set your loss ratio, but most claims teams are still working a queue in the order it arrived, not the order of actual risk or urgency.
How We Solve It
Claims triage speed and fraud detection accuracy directly determine loss ratios. We build AI systems that triage incoming claims, score fraud risk, and support underwriting decisions — integrated with your existing claims management and policy administration systems.
What We Build
Claims Triage
Routes and prioritizes claims by urgency and complexity automatically.
Fraud Risk Scoring
Flags suspicious claims and policy patterns for investigation.
Underwriting Models
Risk models that support faster, more consistent underwriting decisions.
SIU Case Routing
Prioritizes and routes cases to your Special Investigations Unit.
How We Deploy It
Discover
We study your workflows, data, and systems to find where AI creates real leverage.
Design
We architect the models, agents, and integrations around your existing stack.
Deploy
The system ships into your environment — on-premises, cloud, or hybrid.
Operate
We monitor, retrain, and scale the solution as your business evolves.
See It In Action
Triaging 640 open claims across auto, home, and health lines:
| Claim | Line | Amount | Fraud Score | Status |
|---|---|---|---|---|
| CLM-88214 | Auto | $18,400 | 82% | High Risk |
| CLM-88390 | Home | $6,200 | 61% | Review |
| CLM-88455 | Health | $3,100 | 54% | Review |
Common Questions
How long does implementation take?
Claims triage pilots are typically live in 6-8 weeks against one line of business.
Does this integrate with our claims management system?
Yes, we build against your existing claims and policy administration systems.
How do you validate fraud scoring accuracy?
Models are validated against your historical confirmed-fraud cases before going live, and tuned continuously after.
Want this built for your Insurance operation?
Tell us about your workflows and we'll scope a tailored AI solution.