Digital Insurance Claims Portal with AI Assessment

Guardian Insurance Group 2024
68%Faster resolution
$4.2MAnnual savings
4.5/5Satisfaction
$2.1MFraud prevented

How we got there

01

The Challenge

Guardian processed 85K annual claims using manual workflows. 18-day settlements. Adjuster shortages created backlogs. Call centers overwhelmed. 12% fraudulent claims. No digital experience.

02

Our Approach

Built portal (Angular + .NET Core + SQL Server) with mobile photo submission. AI vision models (TensorFlow) assessed damage. Automated decisioning. Guidewire ClaimCenter integration. Fraud detection via anomaly algorithms.

03

The Results

Digital transformation revolutionized claims. AI photo analysis provided instant estimates for 78% auto claims, eliminating inspections. Automated workflows routed to specialists. Portal showed real-time status eliminating calls. Settlement time dropped from 18 to 5.8 days. Fraud detection prevented $2.1M losses.

AI Damage Assessment & Fraud Detection

Customers uploaded damage photos via app. Computer vision identified damage type, severity, parts. ML estimated costs with 91% accuracy. Clear cases got instant settlements. Complex routed to adjusters with pre-assessment. 78% auto claims settled without inspection, 18 to 3.2 day turnaround. Anomaly detection flagged suspicious patterns: duplicates, inconsistent photos, fraud hotspots, unusual histories. Network analysis found fraud rings. Photo forensics detected manipulation. Prevented $2.1M fraudulent payouts.

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