Industry:

Insurance

Country:

Portugal

Company:

AdvanceCare is a group that focuses on health promotion with quality and innovation. Founded in 1998 in Portugal, it emerged during the implementation of OECD recommendations to enhance access to healthcare.

51%​ of medical claims ​fully automated with AI.

CRM Integration

Solution

Backoffice Automation

Achievement

51%​

Medical claims fully automated​

Advance Care Main Achievements using AI in Customer Service

Main Achivements

  • 10x lower cost per approval
  • 98% accuracy rate
  • 30 minutes to approval​

The challenge

  • 100% medical claims handled manually.​
  • 2,5 days to approve each process.​​
  • Cost per decision: €12 to €25.​

The solution

  • Automaise created a cognitive automation that is able to mimic ​the decisions of paramedics and automate the approval of medical claims.
  • The level of automation is steadily increasing as more data is processed, allowing the insurance company to dedicate more resources to highly complex cases.​

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Industry

Insurance

51%​ of medical claims ​fully automated with AI.
Shell

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Ecommerce/Retail

0.5% revenue growth achieved by optimizing pricing strategy through AI.

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