Claims - Intelligent Document Management Platform by Quantiphi

With Dociphi, automate claims processing, reduce cycle time and errors, while enhancing customer satisfaction through faster resolution and improved accuracy.

DOCIPHI IN CLAIMS VALUE CHAIN

Problems We Solve

Auto Claims

Automate auto insurance claims processing by collecting and analyzing data, generating estimates.

Extracts table of contents of any format with template-free extraction Al

Live email integration

Extraction of scanned/ handwritten forms

Medical Claims

Streamline medical claims processing by automating workflows, reducing errors, and improving data accuracy.

Compares data from any internal integrated systems

Extraction of handwritten forms

Mapping of ICD-9 codes and macro guarantees

Workers Compensation Claims

Experience real-time email ingestion and analyze customer sentiment based on the context collected from the email.

Live email integration

Best-in-class automated classification models

Sentiment analysis using email context

How Does Automating Claims Processing Benefit You?

~50%

Reduction in error rates reducing the risk of regulatory fines

33%

Cost savings leading to lower cost/claim

~80%

Improvement in claims TAT for low and medium complexity claims

2X

CSAT improvement

Case Studies

Auto Claims Adjudication

Quantiphi built an end-to-end Claim Adjudication Platform to extract, classify, annotate and index the documents submitted for proof of loss and other relevant information.

Fraudulent Claims Detection

Quantiphi leveraged various types of the customer’s claims-related data, such as Claims note, Claims details, ISO match and Loss run, to train a machine learning model and build a rule/indicators based system to tag potentially fraudulent claims based on a set score.