Optimized Claims Processing: Enhancing Health Reimbursement for Insurance Providers

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Challenge

Processing health claims is often a frustrating and time-consuming experience for policyholders. After an accident, customers must manage and submit numerous medical documents and invoices, only to face delays in reimbursement due to manual processing inefficiencies. As Belgium’s fourth-largest direct insurer, Ethias serves over one million policyholders and processes a high volume of claims daily. To enhance efficiency and provide a smoother experience for its customers, Ethias sought a solution to accelerate and streamline claim settlements.

Nature of collaboration

To address this challenge, Ethias partnered with Sagacify to implement Skwiz, an AI-powered solution designed to automate document processing. Through collaboration, the solution was tailored to accelerate claims reimbursement by automatically handling emails and documents, reducing manual workload, and improving accuracy.

Solution

Skwiz automates various document processing tasks, with its capabilities continuing to expand. Some of its features include:

  • Document splitting
  • Classification of document types
  • Automatic extraction of specific fields, including line items in tables

Powered by advanced AI models, Skwiz structures data from semi-structured documents without requiring manual template creation, allowing for faster and more efficient claims processing.

Impact

+

250,000

Documents processed annually across eight different types

%

80

Full automation rate, reducing manual intervention

=

2.5

Full-time employee workload saved through automation

Hear from the client

Our Footprint in the Financial Services Industry

1.5
M Documents
Process annually
X
Partnerships
Supported by our experts continuously
X
Active projects
Including banks & insurers

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