Automating claims processing for a national health insurer
Problem
Manual claims adjudication created a 12-day average cycle time and 22% rework rate across regional teams.
Solution
Deployed an LLM-based intake classifier, RPA workflow orchestration, and a clinical-rules engine on Azure.
Implementation
12-week rollout: data pipeline modernization, agent design, human-in-the-loop QA, SOC2 controls.
