Tokio Marine Japan and Central Insurance Automate Claims and Fraud Detection
Shift Technology deployed generative AI solutions, powered by Microsoft Azure OpenAI, to automate insurance document processing and fraud detection for global insurers. Claims professionals traditionally spent over 30% of their time manually extracting information from documents, causing delays and poor customer experiences. The implementation leverages Shift's proprietary insurance knowledge layer combined with Azure OpenAI Service, resulting in over 95% accuracy in document data extraction and more than 90% in subrogation liability assessment. Referral volume doubled and acceptance rates improved by 30%. Insurers like Tokio Marine Japan and Central Insurance now experience faster claims settlement and improved subrogation detection. The architecture automates extraction from structured and unstructured data, operates in the background, and delivers actionable insights without claims handlers needing AI prompt engineering expertise. Shift's solution is enterprise-grade with scalability, security, and reliability supported by Microsoft Azure. Shift's generative AI is proven in production use with documented impact for large insurers.
- Organization
- Tokio Marine Japan
- Industry
- Insurance
- Location
- Japan
- Published
- June 2024
Reported outcomes
95%
accuracyQuality & accuracy
Strategic outcomes
Catalog median for quality & accuracy deployments: +90% across 282 reported metrics. Compare benchmarks →
Primary read
Use case focus
Showing 3 of 3
- 1Automated Document Information Extraction in Insurance Claims
- 2AI-Powered Fraud and Subrogation Detection
- 3Generative AI for Claims Automation
- Manual claims review consumed over 30% of claims professionals' time.
- Delay in claims settlement degraded policyholder experience.
- Difficulty in achieving automation due to reliance on human document review.
- Challenges in detecting subrogation and fraud-related opportunities.
- Need for fast, accurate extraction from diverse insurance documents.
- Implemented Shift Technology's AI-powered decision optimization solutions.
- Integrated Microsoft Azure OpenAI Service with proprietary insurance knowledge.
- Automated document extraction and subrogation liability assessment.
- Delivered actionable insights to claims handlers and insurance professionals.
- Seamless integration with insurer's systems for automated claims progress.
- Achieved 95%+ accuracy in document information extraction.
- Reached over 90% accuracy in subrogation liability determination.
- Doubled referral volume and increased acceptance rate by 30%.
- Reduced manual review workload, freeing claims professionals' time.
- Accelerated claims settlement and optimized subrogation recovery.
Architecture
Insurers use Shift Technology's generative AI, built on Microsoft Azure OpenAI Service and Shift's proprietary insurance knowledge layer, to process both structured and unstructured insurance documents. The solution operates as a data processing pipeline—extracting relevant data, transforming it into actionable insights, and integrating results into insurer claims systems automatically. The AI runs in the background, requiring no special prompt engineering from users. Data sources, including third-party integrations, are leveraged for enhanced fraud and subrogation detection. Solution is scalable, secure, and reliable by virtue of Azure cloud infrastructure.
Implementation partners1
Sources & evidence1
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