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Insurance Claims Processing leveraging Camunda and Agentic AI

Insurance customers demand speed, accuracy, and clarity. HCLTech delivers this through AI-powered claims processing that automates document verification, analyzes data in real time, and detects anomalies. By integrating agentic AI with Camunda’s orchestration, we move insurers from rule-based workflows to adaptive automation—creating claims journeys that are instant, intelligent, and customer-first

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About

Overview:

Insurance customers expect speed, accuracy, and clarity when filing claims. HCLTech’s solution leverages AI and Camunda’s orchestration to automate document verification, real-time data analysis, and anomaly detection. This creates a seamless, adaptive, and customer-first claims experience.

• Industry Challenges Addressed:

o Slow, manual workflows and high error rates

o Limited fraud visibility

o Rigid legacy systems and resource inefficiencies

o Low customer confidence due to lack of proactive communication

o Key Solution Features:

o Easy claim initiation via app, website, or phone, guided by AI-powered chat and voice agents

o Intelligent document handling and data extraction

o AI-powered claim assessment, fraud detection, and auto-approval of simple cases

o Integration with legacy systems using RPA bots

o Intelligent task assignment for adjusters

o Continuous customer updates and seamless external collaboration

o Personalized human support for complex claims

o Continuous optimization through analytics

• Differentiators:

o Real-time, autonomous decisions using agentic AI

o Operational excellence with intelligent case management

o Superior customer experience with speed and transparency

o Stronger fraud protection through continuous learning systems

HCLTech combines its insurance domain expertise with the power of Camunda and AWS to define, design, develop and help deliver a streamlined, AI-driven claims automation solution. By orchestrating workflows through Camunda and leveraging AWS services like Amazon Bedrock and AWS OpenSearch, the solution enables end-to-end automation—from claim initiation to resolution with real-time fraud detection, intelligent document processing, and scalable, secure operations.

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