With our Claims Automation Solution, insurers will:
Significantly increase straight-through processing rates
Have the potential to increase rates by >500%
Deliver customer excellence by serving genuine customers with greater speed
Our solution reduces:
Operational costs
The need for manual labor and the associated costs
The risk of fraud and its financial impacts
Our Claims Automation Solution enables:
Faster claims processing and better accuracy
Increased positive customer experiences
Improved overall customer loyalty and retention
Our solution delivers:
Comprehensive rationales for why a claim is or isn’t suspicious
Opportunities for tiered human review to ensure the system is functioning as expected
Trust in the system’s operational capabilities in effect
IDENTIFY RISK AND AVOID FRAUD
Mitigate emerging fraud and risk with Halo-based AI
Tiered human review
Our solution reduces the risk of manual processing errors with highly precise adjudication recommendations. However, we know that sometimes human review is required. As such, we provide opportunities for tiered human review - ensuring efficient use of your team’s time, that the system is always functioning as expected, and that trust is built with system users.
Cutting-edge AI
Our technology applies reinforcement learning, fuzzy logic, and a proprietary mathematical theory (Theory of Risk™) to resolve identities, detect suspicious claims and avoid costly fraudulent payments, all while automating claims processing. When complex cases require human intervention, investigators receive contextual guidance from Daisy that supports decision-making.
Automated straight-through processing decisions
Our Claims Automation Solution actions the Halo Effect to provide highly precise adjudication recommendations and actions to automate claims processing. From intake to settlement, Daisy reduces the need for manual intervention and speeds up the overall claims review process.
AI made simple
Our patented software runs autonomously, preventing human error in claims processing. Daisy takes the complexity out of artificial intelligence; we provide plain-language explanations for all our alerts.
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1200 Bay Street, 202, Toronto, ON, M5R 2A5