Overview
Insurance customers expect speed, accuracy and clarity when filing claims. AI can deliver this at scale by automating document verification, analyzing data in real-time and detecting anomalies. However, to create truly seamless claims experiences, AI must operate within an integrated and responsive process framework.
HCLTech brings this smaer approach to AI-led insurance claims processing. We combine our deep industry knowledge with the orchestration power of Camunda and the intelligence of agentic AI, leveraging our platinum panership with Camunda to move insurers from rule-based processing to adaptive automation. The result is a claims journey that is instant, intelligent and customer-first.
Our key features
Our HCLTech and Camunda Intelligent Claims Processing solution is designed to optimize and streamline every stage of the claims process:
Easy claim initiation
Customers file claims through their preferred channel (app, website or phone). AI-powered chat and voice agents guide the process, answer questions and capture complete details the first time
Seamless document handling
IDP engines extract policy numbers, medical details or damage descriptions, reducing errors and accelerating setup
AI-powered assessment
AI models validate claims, detect fraud and analyze images, auto-approving simple cases and escalating complex ones
Connecting legacy systems
RPA bots sync older systems to maintain data continuity without manual effort
Intelligent task assignment
Adjusters are assigned tasks based on expertise, workload or location for faster resolutions
Always-on customer updates
Notifications keep customers informed via SMS, email or app, reducing uncertainty
External collaboration
Surveyors, garages and government databases are integrated into the workflow seamlessly
Personalized human support
Complex claims are routed to agents with full histories for empathetic service
Continuous optimization
Analytics refining AI and decision rules to continually improve efficiency
Business Benefits
We combine hyperintelligent automation and customer-centricity to transform claims handling into a source of efficiency and loyalty:
Decisions in real-time
Agentic AI reviews policies, claims history and external data instantly to make autonomous decisions
Stronger fraud protection
Continuous learning systems cross-reference multiple data points to detect fraud faster and with higher accuracy
Operational excellence
Routine and complex cases are managed intelligently, freeing human adjusters to focus on high-value interactions