Real-time identification of areas of claims overspend
Utopia AI helps you to identify the claims overspend in your business. Using your past data, Utopia AI can identify in real time where you are most likely to incur unnecessary and excessive costs. Armed with this information, you can take action to prevent that money from being spent. By mimicking the very best cumulative knowledge and skills of your audit team and claim handlers, our Advanced AI delivers information you can react to and immediately reduce your costs.
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Optimise the claims process
Utopia AI Claim Handler is an advanced AI solution to future-proof your operations. AI helps human and allows insurers to optimise claims performance. No matter what languages, what type of policies, and regardless of the number of incoming insurance claims, integration is easy and fast.
Utopia AI Claim Handler go beyond traditional business rules and enables managing the overall claim handling process automatically with only one AI model. The tool continuously learns from the claim handling decisions your human claims adjusters make. It mimics human decision making and can take legislation, variety of policies, different kinds of loss types etc. into account. It operates with a higher degree of accuracy when compared to humans and significantly improves customer experience.
Utopia AI Claim Handler removes delays and provides reliable, consistent decisions in real time, allowing human claim handlers to focus on only the most difficult cases. The tool is ready for production use in only three weeks, and it processes 100% of your incoming claims. It stays up-to-date by continuously learning as it works.
Various uses
Available features
Free text processing
Processing the unstructured free text in a claim together with any structured data is characteristic for Utopia AI Claim Handler. It understands the semantic meaning in the claim text written by policyholder or adjusters’ comments. It is the only true language-agnostic claim handing tool in the world.
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Your claims data
Utopia AI Claim Handler can handle similar content human claims adjusters do, including policy holder background information, policy terms, communication with the PH, actual claim text content, output of other processing tools, etc. Your data defines what Utopia AI Claim Handler does.
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Decision categories
The outcoming claim settlement may be for example to pay, replace, repair or something else, according to your claims process. Utopia AI Claim Handler learns automatically and continuously from your human decisions.
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Utopia AI
The unique text analytics AI technology behind Utopia AI Claim Handler is developed by our top scientists. It doesn’t require Natural Language Processing (NLP) components. The level of automation depends on your claims process and varies typically from 80% to 99%.
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Tailor-made for your needs
To implement Utopia AI Claim Handler takes only 3 weeks. It is a SaaS solution and your IT team will be able to integrate your database to Utopia API in few days. If your policy changes, retraining of the tool is part of the SaaS service.
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AI that understands you uniqueness
Utopia AI Claim Handler doesn’t define your claim handling practices. You do. It learns from your human decisions to meet your specific requirements for different type of claims. The advanced AI approach simplifies your claim handling process.
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