Insurance Fraud Detection
Detect suspicious claims, application misrepresentation and organised fraud networks with explainable analytics.
Claims Automation
Settle simple claims quickly and route complex ones intelligently
Automate claims intake, triage and straight-through settlement of simple claims while routing complex ones to adjusters.
The problem
Why this matters
Claims handling is where insurers keep or lose customers. Manual intake, document chasing and uniform handling of very different claims slow settlement, increase cost and frustrate policyholders.
Common challenges
- Manual first-notice-of-loss intake across channels
- Repeated requests for documents and information
- All claims handled through the same path regardless of complexity
- Limited visibility of claim status for customers and brokers
Our approach
How we work
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Map the journey
Identify claim segments and where delay and cost arise.
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Digitise intake
Structured digital FNOL with document capture and validation.
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Triage
Route claims by complexity, value and fraud risk.
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Automate safely
Straight-through processing within defined, auditable limits.
Capabilities
What our claims automation work covers
- 01
Digital FNOL
Guided claim submission with validation and evidence capture.
- 02
Document processing
Extraction and validation of invoices, reports and forms.
- 03
Claims triage
Complexity and severity models for routing.
- 04
Straight-through settlement
Rules-based automation for eligible low-complexity claims.
- 05
Adjuster workbench
Consolidated claim context for human handlers.
- 06
Status transparency
Notifications and tracking for customers and brokers.
Engagement
Deliverables and benefits
What you receive
- Claims journey assessment
- Automation and triage design
- Document processing pipelines
- Workbench and integration architecture
What it changes
- Faster settlement for simple claims
- Adjuster capacity focused on complex claims
- Improved customer experience
Standards & technology
FAQ
Frequently asked questions
How do you prevent automation from paying fraudulent claims?
Fraud scoring runs before any automated settlement, and automation operates only within limits defined and approved by the claims function.
Discuss your claims automation requirements
Let’s discuss it. Tell us what you are working on and an engineer — not a sales script — will respond.