GenAI-Powered Claims Streamlining & Adjudication Automation

Whether you’re processing warranty claims, refund requests, contract disputes, or policy-driven workflows, manual adjudication is often slow, resource-intensive, and inconsistent.

Dedicatted’s Claims Streamlining Solution uses AWS Generative AI (including Amazon Textract, Amazon Bedrock, and advanced LLM-based models) to automate the intake, evaluation, classification, and scoring of submitted claims. The solution enables faster, more accurate resolutions while reducing manual effort, improving consistency, and enhancing transparency for decision-makers across sectors.

This is ideal for industries like insurance, legal, logistics, manufacturing, HR, and retail, anywhere structured decision-making is needed based on incoming documents and policies.

We follow a structured and efficient approach, refined through past successful projects:

• FREE 2-Hour Workshop: We begin with a complimentary session to review your claims workflows, data sources, and automation goals.
• Solution Design & Planning: Based on the workshop insights, we provide a detailed solution architecture, timeline, and cost estimate.
• Project Kickoff: Once approved, the implementation follows these key steps: AWS Infrastructure Setup: Deploying the necessary cloud environment.
• Large Language Model (LLM) Evaluation: Testing and selecting the best-performing model.
• Claims Assessment System Development: Building a system to evaluate claims and support adjudication logic.
• Confidence Scoring Feature: Implementing a model to support decision-making with a reliable confidence score.
• Custom Workflow Integration: Adapting the solution to fit your specific processes.
• Testing & Optimization: Ensuring accuracy, efficiency, and seamless performance.
• Handover & Knowledge Transfer: Delivering the final solution with training and support.

Read more: Here 

Dedicatted holds the AWS AI Services Competency.