Insurance regulations and policies are in constant flux.
Handling claims requires the intuition of highly-skilled assessors, who will pore over hundreds of pages of texts, handwritten notes, blogs, and various other sources to keep up with regulation changes and make consistent decisions.
Adding to its challenge, the degree of variation in member coverage makes it difficult to add help by training new employees.
That’s why insurance companies are teaching Watson Explorer to understand the interactions, rules, and processing logic that can apply to policies.
Watson’s ability to analyze structured and unstructured data, reference the right policy information and input documents, and then make insightful recommendations, can help employees determine whether a claim is eligible and what percentage of the claim should be paid. So with Watson, employees can make better decisions and get better results faster.
A competitive advantage
Now employees of insurance companies are assessing claims 25% faster.
Insurance companies, hospitals, businesses, educators and governments are working with Watson. In 45 countries and 20 industries, Watson is helping people make sense of data so they can make better decisions while uncovering new ideas.
How Insurance is Working with Watson
1. A customer files a claim.
2. Employees collect relevant information about the incident.
3. Employees input this information into their system.
4. Watson works behind the scenes with employees to help determine claim eligibility and the percentage that should be paid.
5. Employees use a tab to access Watson’s recommendation and decide how to best proceed with payment.
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