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Insurance & Workers Compensation

Claims Management: Workflow & Automated Processing

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The Situation

A prominent workers compensation and general insurance administrator handled hundreds of thousands of complex accident and injury claims annually.

The Problem

Claims assessors were overwhelmed by high-volume inbound medical reports, policy documents, and photographic evidence, causing significant delays in claim determination.

The Search365 Solution

Search365 introduced Cognitive Process Automation and entity extraction to ingest, classify, and match incoming claims documents against insurance policies and medical schedules automatically.

Exceptional Outcomes

Claim triage and routing times were cut by 60%, drastically reducing claims lifecycle costs and allowing assessors to focus on complex, high-priority claimant care.

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