AIBPO
Insurance automation

Transform insurance operations withAI workers

Offload routine calls, data entry, and status checks to AI agents. Your team focuses on liability and negotiation; we handle the rest—24/7, compliant, and outcome-based.

65%
Reduction in cycle time
99.2%
Claims processing accuracy
24/7
Continuous operation
SOC2
Compliant infrastructure
Insurance
Third-party verification calls (Providers, Employers, Shops, Vendors, Other Carriers)
Accelerate investigations by offloading routine outbound calls to AI agents that confirm facts with third parties (medical providers, employers, body shops, contractors, police/municipalities, other carriers). Deliver structured, audit-ready 'Verification Packets' to adjusters so they can decide faster.

Key benefits

Time to Three-Point/Key Contact ↓
Verification Cycle Time ↓
First-Pass Completeness ↑
Adjuster Productivity ↑
Leakage from Missing/Late Docs ↓
Member/Claimant Experience ↑

Our AI handles

  • Target discovery & dialing: Finds the right desk (medical ROI, HR/payroll, shop estimator, contractor PM, police records), places calls, and retries automatically
  • Scripted identity & compliance: Reads purpose-of-call and claim identifiers; follows state/line-specific scripts; logs disclosures
  • Live note → structured fields: Transcribes and maps answers into claim fields (dates of service, diagnosis/ICD, work status, estimate #, police report #, vendor availability)
  • Records/request workflow: Generates ROI/authorization/fax cover, submits via fax/portal, tracks confirmations, schedules follow-ups

Our human agent handles

  • Edge conversations & refusals: Provider gatekeepers, unusual facility policies, employer legal questions, multi-party coordination
  • Exception review: Ambiguous medical/work-status notes, conflicting statements, unclear coverage applicability
  • Escalation routing: Hands off truly complex issues to adjuster (liability/apportionment, settlement strategy, litigation/SIU)
  • Quality sign-off: Verifies packet completeness/accuracy before delivery
6 weeks to cover top 4-5 verification patterns in one line of business
Insurance
Contact center (Policy / Billing / Status)
Reduce handle time and improve member experience by automating high-volume, routine inquiries across policy administration, billing, and claim status.

Key benefits

Average Handle Time ↓
First Call Resolution ↑
NPS ↑
Cost per Contact ↓
Agent Attrition ↓

Our AI handles

  • Omnichannel intake: Voice, chat, email, SMS—automatic recognition and routing
  • Policy lookup & verification: Validate member ID, employer, coverage tier, premium due
  • Billing automation: Generate balance details, payment confirmations, auto-post simple payments, resend invoices
  • Claim status: Retrieve status updates from claims system; push proactive notifications

Our human agent handles

  • Complex billing disputes (premium discrepancies, employer list-bill reconciliation)
  • Coverage interpretation (edge cases: overlapping riders, exclusions, multi-state compliance)
  • Escalated customer situations (emotional, dissatisfied, high-value group accounts)
  • Cross-product guidance (disability + life + leave coordination, employer carve-outs)
6 weeks to cover top 5 inquiry types
Insurance
FNOL & claims processing
Cut cycle time from FNOL to settlement; lower leakage with automated checks and processing.

Key benefits

Cycle time ↓
Indemnity & expense leakage ↓
NPS ↑
Fraud false-positives ↓

Our AI handles

  • Omnichannel FNOL intake (voice/chat); document ingestion & data extraction
  • Coverage validation vs policy terms; rules + AI triage (repair/replace/total)
  • Fraud signals (network links, anomaly scores); subrogation opportunity hints
  • Automated damage assessment from photos and reports

Our human agent handles

  • Complex liability determination; negotiation; sensitive customer comms
  • Large/complex losses; litigation, SIU investigations
  • Authority-limit approvals and exceptions
  • Final settlement negotiations and approvals
6 weeks to top 3 LOBs
Insurance
Claims back-office clerical
Automate routine clerical tasks in claims processing to reduce manual workload and improve accuracy.

Key benefits

Processing speed ↑
Data accuracy ↑
Manual errors ↓
Staff productivity ↑

Our AI handles

  • Document classification and data extraction from claim files
  • Automated correspondence generation and routing
  • Claims diary management and follow-up scheduling
  • Regulatory reporting and compliance documentation

Our human agent handles

  • Complex document review and interpretation
  • Exception handling and escalation management
  • Quality assurance and audit compliance
  • Stakeholder communication for complex cases
4 weeks to full production

Why insurance leaders choose AIBPO

Deep insurance expertise combined with cutting-edge AI automation

Regulatory compliance

SOC2, state insurance regulations, and industry compliance built into every workflow, ensuring your operations meet the highest standards.

Rapid implementation

Go live in 4-6 weeks with our proven insurance automation frameworks, minimizing disruption to your existing operations.

Measurable ROI

Achieve 40-75% cost savings with improved accuracy and faster processing times, backed by detailed performance analytics.

Insurance automation ROI

Claims processing speed8x faster
Error reduction92% less
Cost savings40-75%
Customer satisfaction35% ↑

Ready to transform your insurance operations?

Join leading insurance companies that have automated their operations with AIBPO. Schedule a personalized demo to see how we can optimize your specific workflows.