Insurance
91 of 100 claims, no one had to touch.
Once a claim comes in, an agent processes it and hands only the cases that need judgment to a reviewer.
Finance, healthcare and public-sector customers run KDL in their daily operations.
From the field
Insurer I: auto, medical-expense and cancer insurance
28%
Share of claims that went through without anyone touching them, before adoption
Claims that went through untouched, before
Before adoption, only 28 of every 100 claims went through without anyone touching them. Even simple claims took 5-7 days to pay out.
91%
Share of claims that now go through without anyone touching them, after adoption
Claims that go through untouched, with KDL
Now 91 of every 100 claims are processed without human intervention.
9claims
Number of claims out of 100 that a reviewer decides directly
The reviewer makes the call
The remaining 9 go to a reviewer with their supporting evidence. AI does not make the review decision for them.
Why KDL
An insurance claim is, in the end, a decision that puts customers' money and trust on the line.
Every decision traceable
Decisions to deny or reduce a payment lead to complaints and disputes.
It shows right away where each value used in a decision came from in the documents.
Medical data stays inside
Diagnosis forms and medical records are information that cannot leave the organization.
We install it on-premises or in a dedicated cloud, and resident registration numbers and similar data are masked during processing.
The reviewer makes the call
Responsibility for payment decisions cannot be handed over to AI.
AI shows its basis alongside the original text, and cases with low confidence go to a reviewer. The reviewer makes the decision.
Policies change, it keeps running
Policy terms and diagnosis form templates keep changing, and waiting for development each time backs up reviews.
Staff change the criteria directly in DEEP Ops, compare them against the previous version, and then deploy.
What would you hand off first?
Tell us which work you would like help with. Leave an inquiry, and the responsible engineer will review it directly and get back to you.