Reducing settlement times by up to 90%
reducing settlement times by 90% using Sprout.ai proprietary AI engine
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Product capability
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Extract unstructured information
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Automatically check policy information
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Automatically assess claim validity
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Enrich claim information
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Fraudulent claim detection
Optical Character Recognition
Our OCR translates all unstructured data such as handwritten medical reports and prescriptions into structured daOur OCR translates all unstructured data such as handwritten medical reports and prescriptions into structured data. Once OCR extraction is complete, the data will be matched against the policy interpreted by NLP.
Policy checking
Sprout.ai generates contextual reasoning through using NLP and Knowledge Graphs. NLP is used to understand the contents of the policy document and enables us to build the rules within the policy to automatically check whether the claim is valid in regard to the policy agreement.
Claims automation of the year
Insuretech of the year
Claims Collaboration of the year
Excellence in Technology and Claims
A fantastic example of a collaboration which provides a true solution to some of the issues that often stand in the way of creating customer loyalty and helping rebuild trust in our sector.
Amy Brettell
Zurich’s Head of Customer, UK Claims
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Claims information extracted from claim documentation provided by customer
Text Extraction
Claim details extracted and checked against the policy to see whether it is included
Policy Checking
If claim does not fit the policy, claim handlers will need to verify if a claim is covered manually by checking policy and policy attachments
Claim is checked for to see if it is related to any fraudulent activity or if the customer has a fraudulent past using APIs
Fraud CheckIf possible fraud is found, claims will be manually checked based on claims handlers experience of whether this should be referred to SIU (Special Investigation Unit)
Items with missing invoices can be validated and claimed price of products are validated again with further APIs
Missing InvoicesIf the price of products cannot be validated, the claim is reviewed by the supplier network who will charge the insurer to find accurate prices of claimed items
Claim Turnaround Time
Operational Costs
Fraudulent Claim Detection
Claim Approved
Text Extraction
Claims information extracted from claim documentation provided by customer
Policy Checking
Claim details extracted and checked against the policy to see whether it is included
Fraud Check
Claim is checked for to see if it is related to any fraudulent activity or if the customer has a fraudulent past using APIs
Missing Invoices
Items with missing invoices can be validated and claimed price of products is validated again with further APIs
Claim ApprovedClaim Turnaround TimeOperational CostsFraudulent Claim DetectionIf claim does not fit the policy, claim handlers will need to verify if a claim is covered manually by checking policy and policy attachmentsIf possible fraud is found, claims will be manually checked based on claims handlers experience of whether this should be referred to SIU (Special Investigation Unit)If prices of items cannot be validated, the claim is reviewed by the supplier network who will charge the insurer to find accurate prices of claims itemsReady for Sprout.ai?
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About Sprout.AI
Sprout.ai automates all of the steps involved after filling an insurance claim, a process that is currently slow and inefficient.
Sprout’s market-leading technology is the only end-to-end solution from a moment a claim is filed to the end outcome whilst also filtering for fraudulent claims and leakage.
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EC1R 5EY, United Kingdom
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