Accelerating Claims Processing and Fraud Detection through Hyperautomation

Client Profile

The client is an insurance company in Belgium, offering different types of insurance.

Initial Client Request

Our client approached us to streamline and automate their claims processing system. They sought a solution that could handle large volumes of unstructured data and improve customer engagement.

Challenges Faced by the client

• Manual document handling leading to significant delays
• Lack of real-time communication with customers
• Insufficient insights into customer needs
• High risk of fraud due to manual checks

Solution Provided

We implemented an AI-powered system that automated the entire claims intake process using different Microsoft technologies.

The solution included:

• Connecting customers to the client via an online portal or/and mobile app (via Power Apps)
• Processing unstructured data from various documents (photos, PDFs, scanned receipts) (via AI Builder/OpenAI Services)
• Verifying document authenticity and flagging potential fraud via (Power Automate/OpenAI Services)
• Enhancing customer engagement through real-time notifications and updates (via Power Automate)

The solution resulted in faster claims processing, improved customer experience, actionable insights, and a significant reduction in fraud.