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Optimize Claims Processing with expert.ai’s New Guidewire Marketplace App
Technology Category
- Analytics & Modeling - Natural Language Processing (NLP)
Applicable Functions
- Business Operation
Use Cases
- Fraud Detection
- Regulatory Compliance Monitoring
Services
- Data Science Services
The Challenge
Guidewire, a platform trusted by over 450 insurers worldwide, sought to make claims handling more efficient for insurers with customized workflows and integrations. They aimed to reduce the time spent reviewing documents by 90% by adding human-like language understanding to read and extract the most important details from medical reports automatically. To achieve this, they partnered with expert.ai.
About The Customer
Guidewire is a trusted platform for Property and Casualty (P&C) insurers. It is used by more than 450 insurers, ranging from new ventures to the largest and most complex in the world. Guidewire aims to engage, innovate, and grow efficiently, providing solutions that make claims handling more efficient for insurers with customized workflows and integrations. They sought to enhance their service by reducing the time spent reviewing documents by 90%.
The Solution
Expert.ai’s integration with Guidewire ClaimCenter 10.0 applies human-like natural language understanding to analyze medical claims data, forms, and related documents. This includes reports, appraisals, medical records, invoices, and loss findings. Integrated directly into the Guidewire ClaimCenter workflow, expert.ai’s medical record extraction technology saves claims handlers time and avoids having to retype details from a PDF. Within 10 seconds of the document upload, it is analyzed, the key medical details are extracted, and data fields are populated in ClaimCenter. This saves administrators an average of 10 minutes per document and over 500 keystrokes.
Operational Impact
Quantitative Benefit
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