Claims and document automation: the bancassurance case

In general insurance a claim moves at the speed of its documents. Loss reports, invoices, medical records and statements arrive in different formats and are read by people doing, every time, the same transcription work.

Automating the extraction changes the flow at one precise point: the structured data is there when the claim is opened, not halfway through. From there the consistency checks — amounts, dates, limits, cover — become automatic and concentrate on the exceptions.

The model does not decide the settlement. It proposes the extracted values with a confidence level, flags the inconsistencies and leaves the judgement to the claims handler: below a certain threshold the document goes back for manual review, above it continues with sample validation.

The effect that matters is not on the individual claim but on the queue: when the simple cases flow without waiting, people’s time moves to the few claims that genuinely need discussing.