Ballina/ Demos/ Insurance Claims AI
LIVE DEMO INSURANCE · CLAIMS TRIAGE

Triage
i Kërkesave me AI.

Claims that used to take 7–14 days resolve in 15 minutes. Fraud detection that catches 3× more suspicious patterns. Click any claim to see how the AI reasoned.

Sample Insurance Co.
Claims AI · Triage Console
Today: 142 claims processed Live
AVG TRIAGE TIME
14 min
AUTO-APPROVED TODAY
89
FLAGGED FOR REVIEW
41
FRAUD DETECTED
12
Active Queue
24 claims
ML model · Risk scoring v2.4 · Last retrained: 7 days ago ⚡ Demo data · Production integrates with claims systems & photo evidence
§ Under the hood

What the AI
evaluates.

Evidence the model reviews

📋 Claim form data

Date, time, location, incident description, declared damage.

📸 Photo evidence (computer vision)

Damage classification, severity estimation, authenticity check (EXIF, manipulation detection).

👤 Customer history

Previous claims, policy tenure, payment history, contact patterns.

🌤️ External data

Weather at claim time/location, traffic reports, public incident records.

🕸️ Network analysis

Relationships between claimants, repair shops, witnesses. Detects ring fraud.

Decisions the AI makes

✅ Auto-approve (60–70%)

Low-risk, clear-evidence claims under policy thresholds. Paid within hours.

👁️ Flag for human review (25–30%)

Ambiguous cases sent to adjuster with AI reasoning pre-packaged.

🚨 Fraud investigation (5–8%)

Suspicious patterns flagged to SIU with full evidence trail.

❌ Coverage denial

Explicit policy exclusions detected. Denial letter auto-drafted for adjuster review.

💬 Customer communication

Auto-generated status updates, document requests, settlement explanations.

§ Typical impact

What it does for
an insurer.

15min
Triage time (was 7 days)
65%
Claims auto-resolved
Fraud detection rate
12–16w
Production timeline

Transform your
claims operation.

€45k–75k implementation. 12–16 weeks to production. Typical payback in 6–8 months from fraud prevention alone.

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