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TL;DR See how an insurance carrier used AI employees to cut claims processing from 10 days to 2 minutes, achieving 57% straight-through processing and 98% accuracy.
99%
Faster Claims Processing

From 10-Day Claims to 2-Minute Resolution

How a mid-market travel insurer deployed AI employees to process 400,000 annual claims with 57% straight-through automation and 98% pay-decision accuracy.
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The Claims Bottleneck That Was Costing Millions

10-Day Average Cycle Time

Routine travel claims sat in queues for 7-21 days. 60% of dissatisfied policyholders cited settlement speed as their top complaint.

0% Straight-Through Processing

Every single claim required manual review. Claims handlers spent 30% of their time on low-value data entry and document sorting.

102% Combined Ratio

The carrier was losing money on every policy. Manual processes missed $2.1M annually in subrogation recoveries.

38% Claims Handler Turnover

Repetitive work drove experienced adjusters out. Each departure cost $47K in recruiting, training, and lost institutional knowledge.

Watch: AI Employee Processes a Flight Delay Claim

VEP Support — Live Ticket
AI Online
P
My flight LH482 was cancelled on March 12. I had to rebook and pay €340 for a new ticket plus €89 for an airport hotel. Policy number TRV-2024-88431.
9:14 AM
AI
Pulling policy TRV-2024-88431... Travel Plus plan, €50K coverage, flight disruption included. Checking FlightAware API: LH482 on Mar 12 confirmed cancelled (weather). Verifying claim against policy terms — rebooking + accommodation both covered under Section 4.2. Receipts attached: 2 documents.
9:14 AM ⚡ 1.8s
AI
I've verified your claim against your Travel Plus policy. Flight LH482 cancellation is confirmed via airline data. Your rebooking (€340) and hotel (€89) are both covered under Section 4.2 — Flight Disruption. Total eligible amount: €429. Since this is under your €500 auto-approval threshold, I'm processing payment now.
9:14 AM ⚡ 2.1s
✓ Claim CLM-2024-19847 approved. €429 payment initiated to policyholder bank account ending **7832. Estimated arrival: 1-2 business days.
9:14 AM
AI
Your claim has been approved and €429 is on its way to your account. You should see it within 1-2 business days. Is there anything else about your trip disruption I can help with?
9:14 AM ⚡ 0.9s
P
That was incredibly fast. I was expecting to wait weeks. Thank you!
9:15 AM

AI Claims Processing Pipeline

Intake & Triage

AI reads claim submission, extracts key data, classifies by type and complexity in under 3 seconds

Policy Verification

Cross-references claim against policy terms, coverage limits, and exclusions using Semantic DNA memory

Evidence Validation

Checks external data sources — flight APIs, weather data, hospital records — to verify claim facts

Adjudication Decision

Applies claims rules engine: auto-approve, auto-deny, or escalate to human adjuster based on complexity score

Payment or Escalation

Simple claims get instant payment. Complex cases route to human adjusters with AI-prepared summary and recommendation

Before vs After AI Claims Employees

Manual Processing

With AI Employees

90-Day Results Across 400,000 Annual Claims

99%
Faster Cycle Time
10 days → 2 min
57%
Straight-Through Rate
From 0% baseline
98%
Pay-Decision Accuracy
+3% vs manual
$2.1M
Recovered Subrogation
Previously missed

Claims Automation by Type

Flight Delay: 72%, Lost Baggage: 64%, Medical (minor): 51%, Trip Cancel: 43%, Medical (major): 12%
Flight Delay
72%
Lost Baggage
64%
Medical (minor)
51%
Trip Cancel
43%
Medical (major)
12%

Why Traditional Claims Tools Fall Short

Legacy claims management systems automate routing but cannot reason. They move documents between queues without understanding what is inside them. Chatbots answer FAQs but cannot adjudicate. RPA bots extract data fields but cannot cross-reference a cancelled flight against policy terms and weather data in real time. VEP AI employees are different. They read the claim, understand the policy, verify external facts, make a coverage decision, and initiate payment — all in a single autonomous workflow. Human adjusters still handle complex disputes, fraud investigations, and high-value claims. But the 57% of claims that are straightforward never touch a human desk. The result is not just speed. When claims resolve in minutes instead of weeks, customer satisfaction scores rise, retention improves, and the combined ratio drops below 100% — the threshold where an insurer actually makes money on underwriting.

Process Claims in Minutes, Not Weeks

See how AI employees can automate your claims workflow with human oversight and full audit trails.

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