Case Study · Automation
Claims that clearthemselves
We replaced a manual, backlogged claims process with an intelligent automation suite — reading documents, making decisions and escalating only the tricky cases — taking 70% of claims straight through without a human touch.
The challenge
A process drowning in paper
Every claim meant a person keying data from PDFs, checking policies and routing files by hand. Volume outpaced the team, a backlog built, and inconsistent decisions crept in — all while customers waited.
We mapped the process, then built document understanding, a decision engine with confidence thresholds, and agentic workflows that handle the routine cases end to end and escalate ambiguous ones with full context attached.
- Most claims resolved with no human touch
- Consistent, auditable decisions
- Humans focused on complex cases
- Backlog cleared within a quarter
What we built
The solution
Document Processing
Document ProcessingExtracts and validates data from any claim format, however messy.
Decision Engine
Decision EngineConfidence-based approvals that auto-clear the routine and escalate the rest.
Agentic Workflows
Agentic WorkflowsAgents that complete multi-step tasks across core systems with oversight.
“Their team delivered an automation system that increased productivity by 60%. Highly professional and reliable.”
Michael Brown · Operations Director