The Challange
Every new home insurance claim landed in the same queue. Simple water-damage claims waited behind complex fire losses, and adjusters spent their first hour on each file just deciding who should handle it.
Our Solution
We trained a classification model on six years of closed claims to predict complexity and likely payout band at the moment of first notice. Claims are routed automatically to fast-track, standard or specialist queues, and adjusters see the reasons behind each score.
Result
Average routing time fell from 1.5 days to under 10 minutes 38% of claims now eligible for fast-track settlement Customer satisfaction on simple claims up 22 points
Technology Stack
Python, scikit-learn, Azure ML, .NET API, Power BI.