utopia_ai_claim_handler

Future of insurance claim handling.

Utopia AI Claim Handler dramatically simplifies your claims handling process while increasing the level of automation.

 

Utopia AI Claim Handler

Future-proof your operations with our advanced high quality AI. 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 abandons 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 two weeks, and it processes 100% of your incoming claims. It stays up-to-date by continuously learning as it works.

Various uses

Every claim handled automatically

You can use Utopia AI whether you need an immediate preliminary claim handling decision or want the final settlement for an incoming claim. Utopia AI makes similar claim handling decisions your human adjusters do, but just in milliseconds. 100% of claims are handled automatically in any language and types of policies.

Prioritizing for the human processes

Since every claim receives the AI settlement, it can be used to direct claims automatically into work queues or specialized teams. The most urgent or business critical claims are flagged automatically. Suggestions for different settlement types such as replace, repair or cash settlement can be learned from human decisions data.

Predict and audit

Utopia AI enables to predict time-consuming occurrences at an early stage. For instance, predicting future complaints or withdraws as soon as possible saves your resources and improves customer experience. Overall, the Utopia AI can be used to compare individual human decisions to your general logged claim handling practises, and thus audit each decision and measure the quality of human work.

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 policy holder or adjusters’ comments. It is the only true language-agnostic claim handing tool in the world.

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.

Decision categories

The outcoming claim settlement may be for example to pay, replace, repair, repudiate or something else, according to your claims process. Utopia AI Claim Handler learns automatically and continuously from your human decisions.

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%.

Tailor-made off the shelf tool

To implement Utopia AI Claim Handler takes only 2 weeks. It is a SaaS solution and your IT team will be able to integrate your database to Utopia API in few days. Changing your decision practices is part of the normal SaaS service.

Your rules, our tools

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.

Our white paper “Utopia AI Claim Handler automates insurance claim process in 2 weeks” brings you more in depth information about our product. Get a copy emailed to you by filling in the form below. A short description of the white paper can be found here.

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Interested? Let's talk.

Contact us to try Utopia AI Claim Handler with your claims handling process in a dedicated pilot project. To get started, all we need is the human-made claims decisions from your database. We will guide you every step of the way in the integration process, and give a clear documentation.