Automated Claims Triage

Automated Claims Triage

AI-Driven Claims Prioritization and Routing

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World class fintechs and banks drive better CX with Alltius

Up to
60%
Automated triaging streamlines workflow bottlenecks, ensuring policyholders receive quicker claim resolutions.
Up to
40%
Automation eliminates redundant manual tasks, reducing the need for excessive administrative staff and associated costs.
Up to
25%
Pattern recognition technology flags high-risk claims, significantly improving fraud detection and loss prevention.
“One of the best of its kind we've seen. Earlier, it took 6-7 months to get new reps to medium level in training. Alltius could cut that time by 50%.”
Nick Howard
CTO

Alltius' platform has been extremely promising. As a FinTech with high bar on partner security, they meet our info-sec standards.

Jyotiswarup R
CTO
“One of the best of its kind we've seen. Earlier, it took 6-7 months to get new reps to medium level in training. Alltius could cut that time by 50%.”
Nick Howard
CTO

Alltius' platform has been extremely promising. As a FinTech with high bar on partner security, they meet our info-sec standards.

Jyotiswarup R
CTO

Accelerate claims processing with AI-powered triage

AI-powered triage automates claims prioritization, reducing processing time and optimizing adjuster efficiency.

Traditional claims triage is slow and inconsistent

Manual claims triage is inefficient, error-prone, and lacks scalability. Human-driven assessments lead to inconsistent prioritization, delaying high-value claims. 40% of claim delays occur due to inefficient triage processes (McKinsey & Co.). Without automation, insurers struggle with high operational costs and long settlement cycles.

AI-driven Claims Triage that transforms efficiency

Alltius AI automates claim triage by analyzing claim details in real time, categorizing cases based on complexity, risk, and priority. AI-powered triage reduces claim handling time by 60% and cuts operational costs by 50% (Accenture). Our intelligent models ensure that complex claims receive immediate attention while automating straightforward cases.

  • Claim Intake – AI extracts data from claim submissions, emails, and documents.
  • Automated Classification – ML models categorize claims by severity, fraud risk, and complexity.
  • Priority Routing – AI directs claims to the right adjusters based on workload and expertise.
  • Instant Decisioning – Low-risk claims are auto-approved for faster payouts.
  • Continuous Learning – AI improves accuracy by learning from past claims data.
    • Works with existing claims management systems
    Reduces manual intervention and processing errors
    Enables real-time fraud detection and risk assessment
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    Why choose Alltius?

    Domain Knowledge
    No Engineering Lift
    It Works, Everytime!

    Excellence in every channel

    Build once & deploy AI across all your company channels - instantly.

    Resolve issues on autopilot

    Solve complex queries by taking actions on systems autonomously.

    Agent assistance on point

    Supercharge your team with AI agents that do heavy lifting for them.

    Deliver ROI at speed of light

    Turn all your customer interactions into growth opportunities - at scale without increasing your headcount.

    ‍

    "Alltius’ work has been very promising! Within months they have deflected a substantial portion of our incoming tickets.

    We see them as our extended team."

    Jyotiswarup R, CTO, AngelOne

    Tailored info-sec SLA plans

    Ensure the highest degree of compliance & security requirements for your AI systems.

    Privacy first data
    control

    PII protection, masking, VPN storage, AES encryption & more ensures no data leakage from any agent.  
    Better Claims Triage is just one call away!

    Make AI your competitive edge. Use the future of CX that is ready today!

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    What is Automated Claims Triage?

    Automated Claims Triage uses AI and machine learning to assess, prioritize, and route claims efficiently. It eliminates manual backlogs and reduces decision errors. With AI-driven triage, insurers can cut processing times by up to 60% (McKinsey & Co.). Learn more about Alltius Claims Triage.

    ‍

    How does AI triage insurance claims?

    AI triages claims using:

    • Natural Language Processing (NLP) – Extracts key data from claim descriptions.
    • Machine Learning (ML) – Predicts claim severity and prioritization based on historical data.
    • Fraud Detection AI – Identifies fraudulent claims in real time.

    AI-driven triage improves adjuster productivity by 40% (Accenture). Discover Alltius AI’s Triage Solutions.

    What technologies power automated claims triage?

    Manual triage involves human assessment, which is slow and inconsistent. AI automation:

    • Speeds Up Decision-Making – AI evaluates claims in seconds, reducing processing time.
    • Improves Fraud Detection – AI flags high-risk claims for deeper investigation.
    • Enhances Customer Experience – Faster triage reduces settlement delays.

    AI-driven triage reduces customer complaints by 30% (Deloitte). Learn how Alltius AI transforms triage efficiency.

    What are the benefits of AI-powered Claims Triage?

    AI-powered claims triage offers multiple advantages:

    • Faster Claim Handling – AI reduces triage time by 60%.
    • Better Cost Efficiency – Insurers save 50% on operational costs.
    • Higher Adjuster Productivity – AI automates routing, increasing efficiency by 40%.

    Insurers implementing AI triage see a 35% reduction in claim cycle time (McKinsey & Co.). Explore Alltius AI Claims Triage.

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