Enhancing Insurance Claims Processing with AI Technology
In an ambitious step towards improving operational efficiency and customer satisfaction, Ricerca Co., Ltd., based in Minato City, Tokyo, has introduced its next-generation AI-OCR solution,
'RECERQA Scan', to HIS Insurance, a subsidiary of the HIS Group. This is a strategic move aimed at addressing the complexities involved in insurance claims processes, especially for international travel insurance.
The Challenge: Manual Tasks and Paper Dependence
HIS Insurance indicated that its claims processing involves verifying a plethora of documents, including accident certificates, medical reports, estimates, and receipts. While the company has made strides in digitizing its operations through web-based claims submissions, there still remains a significant reliance on traditional paper-based processes. This has led to challenges such as inefficient inputs and potential errors that could affect customer service and claims settlement timelines.
Why RECERQA Scan?
The decision to implement
RECERQA Scan was driven by the need not only for high accuracy in AI-OCR but also for enhancing and automating pre- and post-processing tasks associated with document handling. The key features that prompted this adoption include:
- - High Precision Data Capture: Capable of accurately digitizing diverse documents in printed or handwritten formats, including multiple languages.
- - Automated Document Sorting: Utilizing 'AI Sorting', the solution streamlines the entire workflow by automating pre-processing tasks.
- - Comprehensive Automation: Beyond initial digitization, it supports verifying content integrity across different documents and facilitates subsequent translations, thus enhancing overall operational efficiency.
Proof of Concept (PoC) Implementation
The integration process began with a proof of concept (PoC) that validated the feasibility of automating the entire document sorting and reading procedure within the claims process. The PoC demonstrated acceptable precision levels across the following aspects:
- - Automated Sorting Capabilities: Successful handling of a variety of document types.
- - Reading Proficiency: Effective reading accuracy for printed, handwritten, and multilingual texts.
- - Non-standard Document Handling: Accurate reading of unusual document formats such as invoices and medical certificates.
- - Post-reading Translation Accuracy: Ensured that the translation of read documents adheres to a high standard of reliability.
Future Initiatives
Moving forward, both companies plan to expand the implementation of
RECERQA Scan across several phases:
Phase 1: Reducing Manual Labor
The first phase focuses on eliminating the labor-intensive manual sorting and data entry tasks, which will result in faster claims processing times.
Phase 2: Alleviating Customer Burden
By integrating AI-OCR into the web claims process, it aims to lessen the data entry burden on customers. Automatic checking will ensure consistency between submitted documents and claims.
Phase 3: Enhancing Data Utilization
In this final phase, unstructured data, such as receipts and detailed records, will be digitized, further enhancing the operational capabilities of HIS Insurance.
Executive Comments
Nobuhiro Tsutsumi, President of HIS Insurance
“Within the insurance sector, there is a heavy reliance on physical documents for contract processes and claims submissions. The balance of accuracy and efficiency is paramount. As we push for digitalization, our commitment to moving towards a paperless setup involves the continuous evaluation of our processes to enhance productivity, and we envision RECERQA Scan being integral to this transformation.”
Shoutaro Umeda, CEO of Ricerca Co., Ltd.
“We are immensely grateful for HIS Insurance's adoption of our RECERQA Scan solution. Their commitment to alleviating risk for their clients and enhancing satisfaction demands a high level of meticulousness. We acknowledge that this requires substantial effort and resources, and we aim to leverage technology to transform challenges into new standards of efficiency for our partners.”
About Ricerca Co., Ltd.
With a mission to solve what was once deemed impossible through the implementation of AI in society, Ricerca specializes in developing advanced solutions. Their flagship series,
RECERQA, encompasses various tools dedicated to addressing persistent operational challenges in supply chain management, alongside data management and digitalization solutions using AI-OCR technology.
Company Info:
- - Name: Ricerca Co., Ltd.
- - Business: Development and provision of AI-driven business software
- - Location: 4-11-17 Shibaura, Minato City, Tokyo, Nakano Spring Building, 6th floor
- - CEO: Shoutaro Umeda
- - Website: recerqa.com