Transforming a Triage Claim Service through Automated AI Decision Making and Intelligent Automation

17 October 2023by mobile cloud

DAC Beachcroft, an international legal firm specialising in fraud detection & Insurance claim triagehas extended its services with Blue Prism & Rainbird intelligent automation technologies.

DAC Beachcroft boasts teams of highly skilled paralegals who Triage Insurance cases to assess whether there is potential for legal action to recovery claims from third parties, unlocking greater returns and significantly reducing recovery timescales. The implementation of an Intelligent Automation solution will enhance this manual service by accelerating client benefits, accurately resolve liability claims quicker and support an increasing number of claims.

Mobile Cloud and their technology partners have enabled DAC Beachcroft to automate the retrieval of complex files from claim assessors, using a combination of RPA and Ai technologies to create a probability decision on whether to initiate recovery legal action. This has been achieved through the integration of Blue Prism RPA, Artificial intelligent tools and Rainbird non-bias decision making. The solution delivers faster throughput, free’s up their skilled experts for more in-depth evaluation work and provides more accurate, consistent “Probability to Recover” scoring for the Lawyers.

“Using technology as an enabler to enhance our services to our clients is crucial. This solution replicates the human elements needed to make robust, non bias informed decisions quickly and with precision. We are very excited to explore how we can use this platform to help our clients find solutions to their problems.”

Brian Pearse – Chief Operating Officer
of DACB’s Claims Solutions Group

Case Study


Intelligent Automation using Blue Prism RPA, Azure OpenAI and Rainbird decision making to deliver improved productivity and accuracy.

 

Manual service has operational and commercial issues

  • Complex evaluation across instruction forms, loss adjuster reports & reported content.
  • Time consuming evaluating information across multiple clients and loss adjusters
  • A key challenge is acquiring answers to the 30+ complex questions per case from the documents to triage the case
  • Expensive cost/claim evaluation by paralegals restricted companies’ volume growth aspirations and diversity of claim types
  • Low likelihood of recovery claims wasting lawyer time

 

Proven AI solution enables Ambition to improve process

 

  • Ambition to improve the % of case recovery for the lawyers
  • Reduce overall triage time and focus effort on higher probability cases
  • Human in the loop to gain triage team approval for complex cases and capture their decision on whether to accept or reject a case
  • Blue Prism RPA orchestrated the end-to-end process & information retrieval to enable Open AI ChatGPT to assist the decision making
  • Use of Symbolic AI for no bias decision making to provide a consistent and auditable automated decision
  • Operational management through MI and auditable results and decisions

 

End to End AI decision making is revolutionizing the process

 

  • Removal of administration work for the triage team
  • More accurate decision making and higher yield cases for the lawyers
  • Auditable and no bias results resulting in new cases and clients being added to the platform
  • Service growth to new clients
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