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Autonomous Claims Processing Agent for Global Insurer
83% reduction in manual review time
83%
Reduction in manual review time
< 2 days
Average payout time
40,000+
Claims processed per month
99.97%
System uptime
The Challenge
A global insurer was processing tens of thousands of claims per month entirely through manual review, creating a bottleneck that delayed payouts, increased operating costs, and led to high adjuster burnout.
Our Solution
We designed and deployed an autonomous multi-step AI agent using LangChain and GPT-4o. The agent ingests claim submissions, cross-references policy databases, validates supporting documents using OCR and NLP, flags anomalies, and routes claims for payment or human escalation. The system integrates directly with the insurer's existing claims management platform via REST APIs.
The Outcome
Within 90 days of production deployment, over 83% of routine claims were processed end-to-end without human intervention. Adjuster capacity was redirected to complex edge cases, reducing average payout time from 11 days to under 2.
Tech Stack
PythonLangChainGPT-4oFastAPIPostgreSQLAWS LambdaDockerTesseract OCR
Category
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