AI case study

ICICI LombardHealth claim processing

Adjudicators manually reviewed 20-page files. AI now flags protocol deviations against guidelines, standardizing decisions.

Published|1 year ago

Key results

Processing Time Reduction
>50%

Result highlights

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The story

Context

India’s leading private general insurance company manages health claims involving discharge summaries, lab reports, and medical bills.

Challenge

Adjudicators manually reviewed case files averaging over 20 pages to verify diagnoses and apply policy terms. This process was prone to human...

Solution
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The company

ICICI Lombard logo

ICICI Lombard

icicilombard.com

General insurance provider for motor, health, travel, and corporate risk coverage.

IndustryInsurance
LocationMumbai, MH, India
Employees10K-50K
Founded2001

The AI provider

Enterprise software, cloud infrastructure, and consumer electronics platform.

IndustrySoftware & Platforms
LocationRedmond, WA, USA
Employees100K+
Founded1975

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