Challenges:

When the customer submits a claim via fax, email, and phone or through a web form, the claim is reviewed and information submitted to claim portal to start the process. The claim processing is manual, time intensive and error prone that leads to errors, slow down the claim cycle time and higher cost.

Our Solution:

• Implemented RPA bots using the RPA Tool- UiPath that entirely transforms the manual process to automated claim processing (partial).
• Retrieve the data from email using RPA and OCR
• Use ML algorithm to classify the claim type and route to respective team
• Push all the data to the respective system with proper business handling and notification

Result & Value Adds

• >95% Accuracy
• Claim processing speed up by 70%
• 50%cost reduction in claim processing cost
• Average routing time 15 minutes to 3 minutes