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Insurance
Automated Claims Adjudication
Complexity
Very High
Timeline
16-24 weeks
Outcomes
4+
Challenge
Manual claims adjudication with inconsistent decision-making, slow processing times, and high handling costs.
Solution
Implement automated claims adjudication using Einstein AI with rules-based decisioning, fraud detection, and straight-through processing for low-risk claims.
Key Outcomes
- 72% of claims auto-adjudicated
- 83% reduction in processing time
- Consistent decision-making
- Reduced handling costs
Tags
claims-managementaiinsuranceautomationeinstein
Implementation Timeline
16-24 weeks
Very High Complexity