New Now offering Generative AI & AI Agent development GenAI & AI agent development Explore AI services
Services
Company
Talk to us
Case study · AI & ML
An insurer taught software to read incoming claim emails and route each one to the right handler.
The challenge
The insurer received claim notices by email, with photos, forms and scanned letters attached. A small intake team read each message, worked out the type of claim and copied details into the core claims system by hand.
Messages were written in every style imaginable. Some mixed several claims in one email. Mistakes in sorting meant slow handoffs, and the team could not simply guess, because claims data is sensitive and regulated.
Our approach
We watched the intake team work and collected anonymized sample messages. We listed every claim type and every field the claims system needs.
We chose a language model approach that flags low confidence cases for a person. Data stayed inside the insurer's own cloud boundary.
We built the reading and sorting service, then connected it to the claims system and the shared inbox through the existing APIs.
We ran the tool beside the team first. Handler corrections were fed back to improve accuracy before it took over routine sorting.
What we built
Extracts claim type, policy details and key facts from emails and attachments.
Sends each claim to the right queue based on type, urgency and complexity.
Shows handlers the extracted fields and flags anything the model is unsure about.
Handler corrections are stored and used to retrain the models over time.
What changed
The intake team stopped reading every message just to decide where it should go.
Fields arrive in the claims system pre-filled, so fewer records need later correction.
Staff spend their time on unusual claims and on customers who need a call.
Technology
Keep reading
Defects caught at the station, not at the customer
Customers get sourced answers without waiting
Crews hear about faults before customers do
Tell us about your project and get a free consultation and estimate within 24 hours.
NDA on request You own the IP No obligation Free estimate
A solutions consultant will reply within one business day with next steps.
Tell us about your project and we’ll reply within one business day. Fields marked * are required.
We couldn’t send your message just now. Please try again, or email us at hello@kramate.com.
