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How PolicySmart Automated Insurance Claims Processing with an AI-Native Claims Intelligence Platform

How PolicySmart Automated Insurance Claims Processing with an AI-Native Claims Intelligence Platform

Insurance providers process thousands of documents, claims submissions, and supporting records every day. For many organisations, manual handling, fragmented workflows, and inconsistent data create costly delays and operational bottlenecks. PolicySmart partnered with Innovify to build an AI-native claims intelligence platform that automates document processing, improves data accuracy, and enables insurance teams to process claims faster and at greater scale.
Case Study

Client Overview

Claims processing remains one of the most operationally intensive functions within the insurance sector. PolicySmart works with insurance providers and end users to streamline claims management, supporting the collection, validation, normalisation, and submission of claims data. As volumes increased, manual review processes became increasingly difficult to scale. Teams spent significant time extracting information from forms, validating submissions, and correcting inconsistencies before claims could be processed. PolicySmart recognised an opportunity to rethink claims processing through AI-native workflows. Rather than simply digitising existing processes, the goal was to build a platform capable of understanding documents, extracting information, validating submissions, and automating workflow decisions with minimal human intervention. Innovify partnered with PolicySmart to design and develop an AI-native claims processing platform that combines intelligent document processing, workflow automation, machine learning, and operational oversight into a unified claims intelligence solution.

Client:
PolicySmart
Country:
United Kingdom
Platforms:
Web
Industry:
InsurTech

Challenge

Zilch set an ambitious goal: launch a fully compliant digital wallet in just four months. Innovify was tasked with building the platform from the ground up, fast, secure, and ready for scale.

The project came with critical technical and compliance requirements:

  • PCI DSS certification and FCA approval, ensuring full regulatory compliance
  • Ultra-low latency transactions under 250 milliseconds, delivering a seamless user experience.
  • Successful integration of multiple third-party APIs, including GPS, Xero, and CashFlows

The solution is cloud-native, API-first, and built for scalability, enabling Zilch to launch confidently and expand across the UK market. With compliance-by-design and optimized architecture, the product is ready for rapid growth.

nsurance claims rely heavily on the accurate extraction, validation, and normalisation of information from submitted documents.

PolicySmart's existing processes depended on manual review and data entry, creating delays, increasing operational costs, and limiting the organisation's ability to scale efficiently. As claim volumes grew, maintaining both speed and accuracy became increasingly difficult.  

The solution needed to:

• Reduce manual data extraction and claims processing effort

• Improve the accuracy of claims data and submissions

• Automate document classification and validation

• Support significantly higher claims volumes

• Improve customer experience through faster processing

• Create scalable AI-native workflows capable of supporting future growth

The goal wasn't simply to digitise paperwork.

It was to create a claims operation that could learn, adapt, and improve through intelligent automation.

Client Review

Zilch set an ambitious goal: launch a fully compliant digital wallet in just four months. Innovify was tasked with building the platform from the ground up, fast, secure, and ready for scale.

The project came with critical technical and compliance requirements:

  • PCI DSS certification and FCA approval, ensuring full regulatory compliance
  • Ultra-low latency transactions under 250 milliseconds, delivering a seamless user experience.
  • Successful integration of multiple third-party APIs, including GPS, Xero, and CashFlows

The solution is cloud-native, API-first, and built for scalability, enabling Zilch to launch confidently and expand across the UK market. With compliance-by-design and optimized architecture, the product is ready for rapid growth.

Key Objectives

Deliver a fully functional digital wallet within four months

• Automate claims intake and data extraction

• Improve claims accuracy and consistency

• Reduce processing times across the claim’s lifecycle

• Increase operational scalability

• Minimise manual intervention

• Improve policyholder experience

• Build an AI-native insurance operations platform

Solution

Innovify began with a comprehensive discovery workshop to define scope, align stakeholders, and anticipate technical challenges. A dedicated delivery team was assembled to ensure speed and precision throughout the build.

Innovify began with a comprehensive discovery workshop to define scope, align stakeholders, and anticipate technical challenges. A dedicated delivery team was assembled to ensure speed and precision throughout the build.

Innovify began with a comprehensive discovery workshop to define scope, align stakeholders, and anticipate technical challenges. A dedicated delivery team was assembled to ensure speed and precision throughout the build.

Innovify began with a comprehensive discovery workshop to define scope, align stakeholders, and anticipate technical challenges. A dedicated delivery team was assembled to ensure speed and precision throughout the build.

Innovify developed an AI-native claims intelligence platform designed to automate claims processing from submission through validation and delivery.

Rather than treating AI as a standalone capability, intelligence was embedded directly into operational workflows, enabling the platform to process, validate, and route information automatically.

Intelligent Document Processing

The platform automatically reads, extracts, and structures information from submitted claims documents, transforming unstructured content into usable business data.

This significantly reduces manual effort while improving consistency across submissions.

AI-Powered Data Extraction

Machine learning models analyse claim forms and supporting documentation to identify relevant information, validate inputs, and prepare claims for downstream processing.

This enables faster handling without sacrificing accuracy.

Claims Workflow Automation

Intelligent workflows automate approval routing, validation checks, and operational processes, reducing bottlenecks and accelerating throughput.

Claims teams can focus on exceptions rather than routine processing activities.

Operational Intelligence

The platform provides visibility across claims operations, helping teams monitor performance, identify inefficiencies, and continuously improve outcomes.

Managers gain access to real-time operational insights while maintaining governance and oversight.

AI-Native Platform Architecture

Built as an AI-native system from the ground up, the platform combines automation, machine learning, and scalable cloud infrastructure to support increasing claims volumes without corresponding increases in operational overhead.

The result is a claims processing environment that is faster, more accurate, and more scalable than traditional manual workflows.

Technology Used

No items found.

Results

Zilch set an ambitious goal: launch a fully compliant digital wallet in just four months. Innovify was tasked with building the platform from the ground up, fast, secure, and ready for scale.

The project came with critical technical and compliance requirements:

  • PCI DSS certification and FCA approval, ensuring full regulatory compliance
  • Ultra-low latency transactions under 250 milliseconds, delivering a seamless user experience.
  • Successful integration of multiple third-party APIs, including GPS, Xero, and CashFlows

The solution is cloud-native, API-first, and built for scalability, enabling Zilch to launch confidently and expand across the UK market. With compliance-by-design and optimized architecture, the product is ready for rapid growth.

The platform transformed claims processing from a manual operational function into an intelligent, automated workflow.

Key Outcomes

• 65% reduction in claims processing time

• 95% accuracy in AI-driven data extraction

• More than 10,000 claims processed monthly

• 80% reduction in claims submission errors

• Improved operational scalability without proportional headcount growth

• Faster claim handling and improved customer experience

These outcomes enabled PolicySmart to significantly increase processing capacity while maintaining operational quality and consistency.  

Business Impact

Insurance operations create value when information moves quickly, accurately, and consistently through the organisation.

By embedding intelligence directly into claims workflows, PolicySmart reduced manual effort, improved operational efficiency, and created a scalable foundation for future growth.

The platform enables teams to spend less time processing paperwork and more time focusing on customer outcomes. More importantly, it demonstrates how AI-native software can transform operationally complex industries by turning repetitive workflows into intelligent digital systems.  

Looking to modernise insurance operations, automate document-heavy workflows, or build AI-native products? Innovify helps organisations design and develop intelligent platforms that combine automation, machine learning, and operational intelligence to create measurable business outcomes. Explore our AI & ML Development Services and AI Labs to discover how we help businesses move from experimentation to AI-powered execution.

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