Sold by: IBM Consulting
Accelerate insurance claims processing with agentic AI—reduce manual effort, boost accuracy, and improve compliance.
Overview
IBM Consulting and AWS partner to deliver Claims-AI, an agentic AI solution that reimagines the insurance claims lifecycle. Built on IBM's ICA4AA framework and designed for AWS, Claims-AI deploys collaborative, autonomous AI agents to automate coverage assessment, triage, document analysis, and legal review—while maintaining transparency, auditability, and human oversight.
This offering supports structured and unstructured claims intake, leverages retrieval-augmented generation (RAG) for policy validation, and generates intelligent summaries to guide underwriter decisions. By aligning deeply with AWS-native services and cloud infrastructure, Claims-AI enables insurers to reduce cycle times, improve claim accuracy, and scale automation across property, casualty, auto, and commercial lines.
What You Get: Clients receive a production-ready claims automation accelerator including pre-configured multi-agent workflows, coverage assessment templates, integration points for policy and claims systems, and dashboards for agent observability and decision traceability. IBM Consulting will tailor the implementation to your claims environment using AWS-native components and enterprise standards.
Highlights
- Business Highlights Faster Claims Resolution-Reduced cycle times by automating intake, validation, & adjudication steps Improved Claims Accuracy-Minimize manual errors thru AI-extracted data and policy-grounded coverage assessment Lower Operational Overhead-Delegating repetitive work to collaborative AI agents Increased Trust & Compliance & Scalability: Maintain full traceability & audit logs of AI and human-in-the-loop actions while supporting property, auto, etc using modular agent workflows
- Technical Highlights Multi-agent system on AWS- Specialized agents (coverage, risk, legal) work in parallel across claims RAG-powered document intelligence: AI extracts insights from policy and claims data Human in the loop-Underwriter checkpoints enable review and override. Integrated & governed-Connects core systems with observability, audit, and compliance aligned to insurance regulations
Details
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Delivery method
Deployed on AWS
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Support
Vendor support
Shiva Bayati shiva.bayati@ibm.com