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Automation System

Claims Decisioning Engine

An AI decisioning engine that automatically settles 91% of eligible motor claims for a Dutch insurer — with full auditability and human review for complex cases.

Client: Meridian Assurance (NL)

Completed: Feb 2026

Claims Decisioning Engine

We integrated an AI claims agent directly into Meridian’s existing claims management system, mirroring the decision criteria of experienced adjusters: intake and classification, automated coverage and liability assessment, then approval, denial or routing to a human.

Automation was deliberately scoped — clear liability, two parties, below a value threshold, no fraud indicators — so risk stayed controlled while 91% of eligible claims settle automatically. Processing time fell 46% and NPS rose 9 points.

Technology stack

OpenAI GPT-4o Python OCR Claims Management System APIs

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