02/10/2026
What does a dented bumper have in common with a suspected fraud case?
No, that's not the start of a joke 😅 Both can end up in the same claims queue.
Not because they need the same level of attention. The problem is that someone still has to review the photos, policy documents, claim forms, and adjuster notes before deciding what happens next.
AI can help with this first step, so it doesn't take weeks.
Here are 4 ways how:
📸 Photos: a vision model identifies visible damage, estimates severity, and flags images that need a closer review.
📄 Policy and claim documents: a document parser extracts coverage limits, exclusions, and important dates.
📝 Adjuster notes: an LLM turns free-text notes into useful signals, including prior losses, possible pre-existing damage, and uncertainty in the assessment.
A scoring layer then combines the results and routes the claim to:
• straight-through processing
• a specialist queue
• further investigation
There are already some strong results in this area.
McKinsey reports that Aviva improved routing accuracy by 30% and reduced complex liability assessment time by 23 days.
PwC estimated 29% efficiency savings for estimators using AI photo analysis.
Low confidence, conflicting information, or unusual cases should always be sent for review.
More details: https://buff.ly/3ZD8fgf