Insurance

Claim Amount Forecasting

Client

RMS

Industry

Healthcare

Services

Workflow Automation

Duration

Enterprise Grade

Executive Summary

Engineering resilience through RMS's transformation.

Claims were submitted in diverse, unstructured formats requiring massive manual effort. The provider needed an end-to-end system that integrated advanced OCR with AI-driven analysis. Clearleaff implemented an Insurance Case Analysis Agent using LlamaParse for contextual extraction from handwritten notes and low-quality scans.

Optimizing Claim Analysis

  • Extract information from unstructured claim formats.
  • Maintain data integrity with precise OCR processing.
  • Scale claim handling with automated analysis agents.
  • Integrate decision support from parsing to evaluation.

The Intelligent Parsing Solution

  • Implemented AI-powered Insurance Case Analysis Agent.
  • Used LlamaParse for advanced OCR and contextual extraction.
  • Enabled real-time, asynchronous scalable document parsing.
  • Delivered features for adequacy and similar case search.
Measurable Outcomes

Measurable Impact

75%

Processing Speed Increase

2x

Capacity Growth

100%

Client Satisfaction

Faster Processing & Scalable Document Parsing

Claim handling time reduced from 40 mins to just 10 mins, achieving a 2x increase in processing capacity without losing accuracy. The solution provided fully automated decision support for complex medical cases.

Technical Stack

Tesseract OCRLangChainPostgreSQLDjango RestLlamaParse

Core Disciplines

OCRInsurTechAutomation
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