Modernize Insurance Claims Intake with AI-Powered Automation

Streamline end-to-end insurance claims processing with automated data extraction, validation, and routing to accelerate payments.

Roadblocks to Faster Claims Processing for Group Benefits Carriers

Manual, error-prone intake
Processing insurance claims from multiple formats such as emails, PDFs, forms, and spreadsheets, often requires manual effort. This slows down claims automation, increases the risk of errors, and exposes carriers to compliance issues.
IT bottlenecks and costly custom integrations
Every new file format, group, or partner requires IT intervention, delaying automated claims processing, slowing down onboarding and adding maintenance burden.
Inability to scale during seasonal peaks
Benefit cycles and seasonal claim surges overwhelm operations, causing backlogs, missed SLAs, and unhappy stakeholders —highlighting the need for AI insurance claims solutions that can scale.

The Adeptia Advantage

Faster Claims Processing

Reduce time-to-process by up to 80% with automated claims intake and reconciliation powered by AI insurance claims technology.

Higher Accuracy & Fraud Prevention

AI-driven data validation and mapping detect mismatches early, helping pause billing and prevent fraud—delivering more reliable insurance claims management.

Effortless Scalability

No-code workflows and intelligent ingestion let business teams manage peak volumes without adding headcount or overloading IT—unlocking true insurance claim automation.

Adeptia in Action for Group Benefits Carriers

New Group Onboarding

Automate ingestion of enrollment feeds from HR systems, TPAs, and brokers—structured or unstructured.

Eligibility & Claims Matching

Detect mismatches between enrollment and claims data before they cause delays or denial with advanced claims automation tools.

ACORD & PDF Processing

Ingest and map forms without building custom templates for each document type, allowing you to speed up automated claims workflows.

Seasonal Volume Management

Prepare for open enrollment and year-end surges without hiring temporary staff using scalable insurance claims automation.

Fraud Detection & Revenue Protection

Identify anomalies in insurance claims that signal potential fraud or overpayment.

Data Integration & Analytics

Seamlessly connect to claims, policy, and third-party systems, and feed data warehouses for trend analysis and underwriting refinement.

Book a Demo

Ready to Automate Your Claims Intake and Data Processing?

Book a demo today and see how Adeptia helps carriers efficiently ingest, transform, and scale claims data—eliminating manual work and improving accuracy, all without adding IT burden.

Resources

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