finance

Intelligent underwriting and claims settlement system for insurance groups

An AI intelligent underwriting and claims integrated platform was built for a large insurance group. Through OCR recognition and knowledge graph technology, the underwriting efficiency was increased by 80%, and the claims settlement cycle was shortened from 7 days to 2 hours.

Project background

The traditional underwriting process of a large insurance group relies on manual review, which is inefficient and has inconsistent standards. The review of materials in the claims process is cumbersome and the customer waiting period is long, which seriously affects the user experience and operating costs.

Solution

  • OCR Intelligent Identification: Automatically identify more than 30 types of documents such as ID cards, medical records, invoices, etc., with an accuracy of 99.5%
  • Knowledge Graph: Build knowledge about diseases, drugs, and treatment plans Map to assist underwriting decisions
  • Intelligent claims engine: Automatically match policy terms and claim materials, complete small claims in seconds

Project results

Underwriting efficiency increased by 80%, the claims cycle was shortened from 7 days to 2 hours, and customer satisfaction increased to 96%.

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