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CASE STUDY September 17, 2023

Leveraging AI to analyze Attending Physician Statements (APS) to improve straight through processing of applications

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Business Objective

Our client is a leading US-based provider of insurance and financial services products including life insurance, retirement plans, and mutual funds.

The underwriting team had a significant volume of informal underwriting inquiries via APS records. The client wanted to automate the process of analyzing unstructured APS records to enable straight-through processing for quote generation.

Challenges

  • Attending physician statements are unstructured and difficult to process manually.
  • Reconciling and deriving KPIs definition from the APS records needed significant domain inputs from medical directors as well as detailed understanding of the underwriting process
  • To confirm to audit standards, white box interpretable models were needed for predicting risk classes
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