Insurer Automates Claims with Generative AI and Robotic Process Automation

This case describes how insurance companies automate claims processing by integrating SS&C Blue Prism's enterprise AI, generative AI, and Robotic Process Automation (RPA) with Microsoft Azure. Previously, claims handling was slow and error-prone because adjusters manually entered and verified data, leading to delays and dissatisfied customers. Enterprise AI now automates repetitive tasks, facilitates document review and summarization, and securely accesses data sources to create a single source of truth. Generative AI extracts key details from lengthy accident declarations, summarizes data, and populates claims systems, increasing accuracy and speed. The solution delivers audit trails, end-to-end process compliance, reduced manual errors, and enhanced customer notification and experience. The technology allows real-time fraud detection, automates low-risk claims, and provides analytics for fraud prediction and prevention. Integrations also support AI chatbots, IoT/telematics notifications for new claims, and computer vision for damage verification and estimation. The implementation has reduced claim cycle time by 20 minutes per claim, improved customer satisfaction, and freed adjusters for complex tasks.