MicrosoftExpandedScaled productionEvidence: Medium50/100

Sedgwick transforms insurance claims automation with Sidekick+ AI integration

Use case typeClaims automationUpdated Jun 13, 2026

Sedgwick, a leading global provider of claims management and technology solutions, has significantly advanced its use of AI to transform claims processing. Building on decades of experience, Sedgwick has integrated Microsoft's Azure OpenAI technology, specifically ChatGPT, into its proprietary Sidekick+ claims workflow. The enhancements enable automatic summarization of medical documents and AI-driven guidance for clinical claims management. MySedgwick, the company's self-service tool, has also been upgraded with AI chat features for real-time claimant support. These updates are designed to speed up claims resolution, improve productivity for claims professionals, and elevate the digital customer experience. During its initial pilot, Sidekick+ processed over 50,000 documents, demonstrating greater than 98% accuracy in automatic summarization. The new care guidance module uses AI and machine learning to proactively identify and escalate high-severity claims. Sidekick+ and supporting tools have strengthened the broader technology suite at Sedgwick, which serves premier global employers and insurers. These comprehensive enhancements in AI, predictive modeling, and real-time chat support have garnered industry recognition, including a CIO 100 Award for innovation. The technology is deployed at scale, supporting a global client base. Sedgwick's advancements represent a noteworthy implementation of generative AI in the insurance industry, directly impacting both operational efficiency and client satisfaction.

Organization
Sedgwick
Industry
Insurance
Published
May 2024

Reported outcomes

+98%

accuracyQuality & accuracy

70%quantified impact

Strategic outcomes

New product / capabilityAutomated medical document summarizationNew product / capabilityAI-driven high-severity claim flaggingCustomer experience & trustUpgraded self-service with real-time supportSpeed & agilityAccelerated claims resolution workflows
Why do we believe this?Outcome claims, sources, and evidence checks

Normalized claim

Accuracy: 98% increase

sedgwick.comMay 2, 2024Press releaseInferred claimMedium evidence strength

Sidekick+ processed over 50,000 documents in a pilot with more than 98% accuracy.

Normalized claim

Quantified impact: 70%

sedgwick.comMay 2, 2024Press releaseInferred claimMedium evidence strength

Enhanced digital self-service adoption: now 70% of claimants check claim status via mobile.

Why do we believe this deployment?Customer identity, provider attribution, maturity, and source checks
Customer
Sedgwick
Provider
Microsoft
Maturity
Scaled Production
Linked source
sedgwick.com

The technology is deployed at scale, supporting a global client base

Customer identity supportedSource describes one deploymentMaturity supported

Primary read

Use case focus

Showing 3 of 3

  • 1Automated Medical Document Summarization for Insurance Claims
  • 2AI-Powered Claims Triage and Routing
  • 3Real-Time Customer Support via AI Chatbot
  • Manual review of medical documents in insurance claims was time-consuming and error-prone.
  • Claims processing cycles delayed due to lack of automation across the claims lifecycle.
  • Customer experience suffered from long wait times and limited self-service options.
  • Difficulty identifying severe claims early, risking higher costs and poor outcomes.
  • Integration of Microsoft Azure OpenAI (ChatGPT) into proprietary Sidekick+ claims workflow.
  • Automated medical document summarization using generative AI, reducing manual workload.
  • Deployment of AI-powered care guidance to flag high-severity and complex claims earlier.
  • Modernized self-service portal (mySedgwick) equipped with AI chat for real-time support.
  • Sidekick+ processed over 50,000 documents in a pilot with more than 98% accuracy.
  • Reduced claims resolution times, accelerating workflows for claims professionals.
  • Enhanced digital self-service adoption: now 70% of claimants check claim status via mobile.
  • Recognized with the Foundry CIO 100 Award for technology innovation.
Architecture

Proprietary Sidekick+ claims workflow is integrated with Microsoft Azure OpenAI (ChatGPT) via API, enabling automated medical document summarization. AI-driven care guidance leverages predictive models and natural language processing to process unstructured claim, medical, and clinical data, triggering workflow automation and early intervention. The mySedgwick self-service portal is updated with AI chat for real-time claimant support.

Sources & evidence1
Evidence: Medium50/100Evidence strength
  • Customer explicitly identified
  • Deployment status explicitly supported
  • Quantified outcome available
  • Technical implementation details available
ExpandedExpanded

The same organization appears in newer AI deployment evidence.

  • Same organization re-documented as recently as 2025.

Measures whether this deployment's public evidence persists — not whether the system is still in production.

Type: Press ReleasePublished: May 2, 2024Publisher: sedgwick.comEvidence: VendorConfidence: Medium

AI-generated summary. Verify important details with the linked sources before relying on this case.

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