Automated Claims Adjudication
for a leading insurance provider in the P&C segment.
The client is one of the largest Property & Casualty Insurance service providers offering services in multiple geographies across the globe.
The Ask
![](https://www.nlbinsurtech.com/wp-content/themes/twentytwentyone-child/images/ask-icon1.png)
Automate the claims adjudication process from the traditional manual process.
![](https://www.nlbinsurtech.com/wp-content/themes/twentytwentyone-child/images/ask-icon2.png)
Bring down the processing costs of claims adjudication to get an edge over the competitors.
![](https://www.nlbinsurtech.com/wp-content/themes/twentytwentyone-child/images/ask-icon3.png)
Bring down the processing time of claims adjudication to get an edge over the competitors.
Solution
![](https://www.nlbinsurtech.com/wp-content/themes/twentytwentyone-child/images/solution-img1.jpg)
Using the Knowledge Graphs, we structured policy clauses, regulations, claims data etc. and created machine-readable logic representations of policy terms for easy automation.
![](https://www.nlbinsurtech.com/wp-content/themes/twentytwentyone-child/images/solution-img2.jpg)
Create machine-readable logic representations of policy terms and automated processes to provide real-time recommendations for consistent decisions.
![](https://www.nlbinsurtech.com/wp-content/themes/twentytwentyone-child/images/solution-img3.jpg)
Automated computable contracts generation and created machine-readable logic representations of policy terms.
Technology Accelerators
![](https://www.nlbinsurtech.com/wp-content/themes/twentytwentyone-child/images/tech-icon1.png)
RDF Graph Database
![](https://www.nlbinsurtech.com/wp-content/themes/twentytwentyone-child/images/tech-icon2.png)
GPT-4 AI Engine
![](https://www.nlbinsurtech.com/wp-content/themes/twentytwentyone-child/images/tech-icon3.png)
React on Frontend
Impact
Data Integration
Complexities in merging diverse data sources
NLP Accuracy
Achieving precise natural language understanding.
Compliance
Adhering to evolving legal and regulatory standards.