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Revolutionizing Insurance Claims Processing with Innovify’s AI Solutions

Platforms

Web

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The client is a specialized insurance processing firm that assists end users in submitting claims by managing and normalizing data from uploaded forms before forwarding them to various insurance providers. Their goal is to streamline claims processing by reducing errors, improving efficiency, and ensuring seamless data standardization.

Challenge

  • Manual, Time-Consuming Data Entry: The client relied on human staff to review and extract information from claim forms, significantly slowing the process.
  • High Error Rates in Data Normalization: Inconsistencies in claim submissions resulted in frequent rejections from insurance providers.
  • Limited Scalability: The firm struggled to process large claim volumes, restricting its ability to onboard more clients.
  • Poor User Experience: End users experienced delays, leading to dissatisfaction and loss of trust in the service.

Key Objectives

  • Automate Claims Processing – Reduce reliance on manual data entry and speed up workflows.
  • Enhance Data Accuracy – Minimize errors in data normalization to lower claim rejection rates.
  • Scale Operations Efficiently – Handle higher claim volumes without increasing overhead.
  • Improve User Experience – Reduce delays and enhance trust with faster claim approvals.
  • Optimize Talent for Automation – Build a skilled team to oversee AI-driven compliance and processing.

Solution

To address these inefficiencies, Innovify deployed AI-powered solutions tailored to the client’s needs:

  • AI-Copilot for Automated Data Extraction: Enabled instant reading, extraction, and normalization of claim forms.
  • AI-Powered Talent Hiring: Helped the client build a skilled team for automation and compliance oversight.
  • End-to-End Project Execution: Implemented intelligent workflows to streamline operations.
  • Standardized Data Processing: Ensured seamless claim submissions, reducing rejection rates.

Results

  • 65% Reduction in Processing Time - Automated workflows cut down data handling time.
  • 95% Accuracy in Data Extraction - Enhanced claim submission reliability.
  • 10,000+ Claims Processed Monthly - Scaled operations from 4,000 claims per month.
  • 80% Decrease in Submission Errors -Increased approval rates and reduced claim rejections.

By leveraging Innovify’s AI-driven automation, the client transformed their claims processing workflow. The adoption of AI-powered data extraction and hiring solutions not only improved efficiency but also boosted accuracy, scalability, and customer satisfaction giving them a significant edge in the insurance industry.

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