INDUSTRIES · INSURANCE

Messy claims and underwriting documents,
turned into traceable decisions.

Insurance runs on documents, and most of them arrive messy. We make that document flow agent-ready, then automate the work on top of it, with every decision traceable to its source.

Book a readiness assessment See the framework
Faster claims intake Documents classified and checked on arrival
Fewer missed details Every bill, form and report read in full
Decisions you can defend Every check traced to a source page
INSIDE THE PIPELINE

From a claims file to an agent-ready record

01

Ingest

OCR, cleanup and language detection

Scans, handwriting and phone photos

02

Classify

Bills, discharge summaries, forms and IDs

Missing documents flagged on arrival

03

Structure

Hierarchical JSON per document type

Line items, diagnoses and dates

04

Match

Line items checked against policy terms and tariffs

Waiting periods and sub-limits applied

05

Assure

Field-level confidence scoring

Low scores routed to human review

USE CASES

From first notice to final decision

Claims

Speed up intake without losing accuracy.

  • Claims intake, classification and triage
  • Health claims processing against policy terms
  • Leakage and fraud signals for human review

Underwriting & policy

Give underwriters a structured view of every risk.

  • Risk facts extracted from proposals and medical reports
  • Policy wordings structured into clauses
  • Coverage, exclusions and sub-limits agents can check

Current work

Our document ingestion pipeline is in pilot with an insurance company.

  • A separate pilot processing claims documents
  • Builds on our insurer integration in healthcare
  • Accuracy tracked through our evaluation framework
DOCUMENTS WE HANDLE

The full mix that lands on an insurer's desk

Claims files

Bills · discharge summaries · claim forms

Including handwritten forms and phone photos

Underwriting packs

Proposal forms · medical reports

Structured into a single underwriting view

Policy wordings

Coverage · exclusions · sub-limits

Turned into clauses agents can check claims against

Correspondence

Emails · letters · notes

In more than one language

HOW WE ENGAGE

Start with one claim type, then scale

1 · Assess 2–4 weeks, fixed fee. Document mix, volumes and workflows.
2 · Pilot 6–10 weeks on one claim or policy type.
3 · Build Production pipeline and claims agents.
4 · Keep it ready Agent Assurance and Agent Operations as documents, products and models change.

Bring us your messiest claims file

Start with an assessment of your document mix and workflows, and a pilot plan with accuracy targets you keep either way.

Talk to us · info@shvx.in