AI-Driven Claims Assistant for Insurance
A custom LLM-powered solution enabling claims adjusters to query complex policy documents and legal files using natural language.
The story
behind it
The client’s adjusters were spending hours manually searching through thousands of policy variations and historical claim records. Keyhole Software developed a Retrieval-Augmented Generation (RAG) assistant that integrates directly with their document management system, providing instant, source-cited answers to adjuster queries.
What stood in the way
Insurance policies are hyper-dense and context-dependent. Standard keyword search was failing to provide accurate answers. Furthermore, all data had to remain strictly on-premise or within a private cloud VPC to ensure policyholder privacy and compliance with insurance regulations.
How we made it happen
We built a private RAG pipeline using a vector database for semantic search and a private instance of a Large Language Model. The system included a 'Source Verification' feature that highlights exactly where in a 200-page document the AI found its answer, ensuring human-in-the-loop accuracy.
Impact that speaks
Faster Processing
The time required to review a complex claim decreased from an average of 45 minutes to 33 minutes.
Data Privacy
Data never left the client's secure network, satisfying all regulatory and legal requirements.
Reduced Appeals
Higher initial accuracy in policy interpretation led to fewer disputed claims and legal appeals.
A closer look
What we
delivered
Every feature was built with purpose, performance, and user experience at its core.
Tools & technologies
From concept to launch
AI Ethics & Data Strategy
Defining security boundaries and selecting the optimal embedding models for legal text.
MVP Vector Indexing
Ingesting 50,000 pilot documents and tuning semantic search relevance.
Assistant Development
Building the React frontend and implementing the LLM orchestration layer.
Enterprise Rollout
Full-scale deployment with training sessions for adjuster teams across multiple regions.
Common questions
Let's build something remarkable together
We'd love to discuss how we can help bring your vision to life. Our team has extensive experience across AI, web, mobile, and cloud technologies.
Start a conversation