KSD: Insurance Claims Automation Platform
A cloud-native platform automating end-to-end insurance claims processing with AI-powered document analysis and fraud detection.
Key Results
Client
KSD is a mid-size insurance provider serving 200,000+ policyholders. Their legacy claims processing system was slow, paper-heavy, and prone to errors, leading to customer dissatisfaction and increasing operational costs.
Objective
Modernize the entire claims lifecycle from first notice of loss through settlement with an AI-enhanced platform that automates document processing, validates claims, detects fraud patterns, and integrates with existing policy management systems.
Industry
Services used
Project Team
Solution ArchitectAI/ML EngineerBackend DeveloperFrontend DeveloperDevOps EngineerQA EngineerProject Manager
Work Approach
Legacy System Migration
We performed a thorough audit of the existing system, migrated critical data to a cloud-native architecture, and established API bridges for gradual transition without disrupting ongoing operations.
AI Document Processing
Built OCR and NLP pipelines to automatically extract, classify, and validate information from claim documents, medical reports, and police filings. The system handles 15+ document types with 98% accuracy.
Fraud Detection Engine
Developed machine learning models analyzing claim patterns, network relationships, and historical data to flag potentially fraudulent claims. The system learns continuously from adjuster decisions.
Technical Architecture
Results Achieved
Transformed claims operations
Claims processing time dropped from 14 days to 3.5 days on average. The fraud detection engine identified $12M in fraudulent claims in its first year, achieving 92% accuracy. Customer satisfaction scores improved by 35% as policyholders received faster, more transparent claim resolutions.
With over 25 years of experience, we bring together expertise and innovation to deliver impactful solutions tailored to each client's needs.
Serge Guzenko
CEO & FOUNDER