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AI Document Intelligence for Claims Processing

A production document intelligence pipeline that reads insurance claim PDFs and scans with OCR and an LLM, auto-processing 71% of claims end to end and cutting average handling time from 22 minutes to 3.

AI document intelligence pipeline for insurance claims processing

Direct Business Impact

"Cut average claim handling time from 22 minutes to 3, auto-processed 71% of claims with no human touch at 98.4% field-level accuracy on the evaluation set, and cleared the entire backlog within 5 weeks of go-live."

01 · Baseline Bottlenecks & Legacy Constraints

A third-party insurance administrator received claims as PDFs, faxes, and phone-camera photos, and adjusters keyed more than 40 fields per claim into the policy system by hand. At 22 minutes per claim the team could not keep pace with intake, and a multi-week backlog was pushing the administrator past its contractual turnaround times.

Key Deliverables & Milestones

3 Highlights
OCR + LLM extraction of 40+ structured fields from PDFs and scans
Field-level confidence scoring with a human review queue
Evaluation harness over 5,000 labeled claims tracking accuracy & drift

Technology & Infrastructure Stack

PythonFastAPIClaude APIAWS TextractPostgreSQLRedis
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