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Insurance & Insurtech

Profit Insurance: From Manual Claims Triage to an Automated Processing Pipeline

Manual claims triage replaced by an automated processing pipeline

Client: Profit
Profit Insurance: From Manual Claims Triage to an Automated Processing Pipeline

The Challenge

What Profit Was Facing

The Profit insurance app was processing claims and policy updates through a combination of email triage, spreadsheet tracking, and phone follow-ups. Customers were waiting 5–7 days for straightforward decisions that should have taken hours. Staff were spending 60% of their time on process administration — chasing approvals, updating records, sending status emails — rather than on client service.

The Solution

What We Built

We built an end-to-end claims processing pipeline: incoming claims triggered automatic data extraction and initial risk scoring; straightforward claims were processed and communicated to the customer with no human intervention; complex cases were routed to the appropriate specialist with pre-populated context and clear recommended actions. Real-time SLA dashboards made it impossible for a claim to fall through the cracks.

Profit Insurance: From Manual Claims Triage to an Automated Processing Pipeline – solution

Results

Measurable Outcomes

Straightforward claim processing time reduced from 5 business days to under 2 hours
Staff time spent on process administration reduced from 60% to 18%
Customer satisfaction score for the claims process improved from 2.8 to 4.4

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Profit Insurance: From Manual Claims Triage to an Automated Processing Pipeline | Automation Agency AI