Insurance Claims Automation
Straight-through claims for the mid-tier insurer, intake to decision.
Add a straight-through-processing layer to your existing Guidewire or Sapiens core, an owned application built on our Agent Platform, that automates claims intake, triage and decisioning, reusing proven fraud-scoring (AML) and document-processing (IDP) components, with POPIA/PPR-aware explainability.
Most carriers straight-through-process only a handful of claims
Manual claims handling is slow and costly, and straight-through-processing rates at most carriers sit in the single digits. A decisioning layer over your existing core lifts that, without replacing the core.
What it fixes
- Manual FNOL and triage → slow, costly claims handling
- Low straight-through-processing → backlogs and poor customer experience
- Fraud caught late → claims leakage and loss
- Core-replacement projects → high risk and cost
A decisioning layer over your core
Owned on our Agent Platform, extending Guidewire or Sapiens, reusing components proven in other accelerators.
Claims intake & triage
Automated FNOL capture, classification and triage on your existing core.
Straight-through decisioning
Rules- and AI-based decisioning that settles clean claims touchlessly.
Fraud scoring
Reuses proven financial-crime scoring to flag suspicious claims early.
Document processing
Reuses the Finance Document Automation engine for claims documents.
Explainable & compliant
POPIA- and PPR-aware explainability for every automated decision.
Extends, not replaces
Layered over Guidewire or Sapiens, no core replacement.
Value-first, in weeks not months
Every accelerator is production-grade IP deployed into your own Microsoft environment, not a blank-page build, delivered the nVisionIT way.
Prove the value
A costed roadmap, a working prototype, the target architecture and a measured value baseline, in 2–4 weeks.
Bill as delivered
We deliver and invoice per milestone for work delivered and reviewed; the budget is refined with you each step.
No-penalty exit
Stop at any milestone boundary, work done is billed, nothing more.
Yours, on your cloud
Deployed into your own Azure tenant, in an SA or Mauritian region, you retain ownership and control.
What you get out of it
Higher STP
More clean claims settled touchlessly, end to end.
Faster settlement
Shorter cycle time from first notice to decision.
Less leakage
Earlier fraud detection and consistent decisioning.
The stack
Microsoft-first, API-first, Zero Trust and Responsible AI, an nVisionIT-owned application on our Agent Platform, bilingual (English/French) and deployable in African Azure regions for data residency.
Ready to straight-through-process claims?
Book a briefing and we’ll shape a value-first Sprint 0, a costed roadmap, a working prototype and a measurable baseline, on your own Microsoft environment.