AI-Powered Claims Handling: Baloise & amaise Lead the Way

Revolutionizing Insurance with AI-Supported Case Management

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The insurance industry is undergoing a digital transformation, with AI-driven claims processing paving the way for greater efficiency, accuracy, and automation. A recent HANDELSZEITUNG article spotlights how Baloise, one of Switzerland’s leading insurers, is leveraging AI to enhance claims handling—an innovation powered by amaise.

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📢 Read the full article here

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At amaise, we are honored to be a candidate for the Swiss Insurance Innovation Award and extend our sincere gratitude to Baloise for embracing AI-driven solutions to advance claims management. Together, we are shaping the future of insurance operations.

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The Challenge: A Time-Consuming Claims Process

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Insurance companies process thousands of claim-related documents every year, many of which require systematic organization and retrieval. In accident insurance and legal services for personal insurance, insurers face time-intensive and manual workflows when preparing, reviewing, and dispatching case files.

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Under Article 8 ATSV, introduced in October 2019, Swiss insurers must structure case files systematically and chronologically, further increasing administrative complexity. Baloise needed a solution to streamline this process, reduce manual workload, and ensure compliance with regulatory standards.

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The AI-Driven Solution: Automating Case File Management

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To tackle these challenges, Baloise partnered with amaise, integrating AI-driven automation into their claims workflow. The amaise AI solution recognizes and categorizes documents based on content, enabling faster and more efficient case processing.

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A key feature developed in collaboration with Baloise is automated case file dispatch, which streamlines the process of compiling, organizing, and sharing insurance files. This significantly reduces the time and effort needed to prepare case files, which previously ranged from 15 minutes to several days, depending on file complexity.

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Innovations in Claims Processing: Key Benefits of AI Integration

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With amaise’s AI-powered solution, Baloise has successfully automated key steps in accident insurance claims and personal insurance legal services:

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✅ Automated Document Organization: AI systematically classifies documents and arranges them in the correct order, providing seamless access for claims handlers. ✅ Smart Case File Management: New documents are automatically integrated into existing case files, significantly improving efficiency for cases with hundreds or thousands of pages. ✅ Intelligent Case Dispatch: The AI system generates numbered case files, creates content indexes, archives files, and automates dispatch—ensuring compliance with Swiss regulatory requirements. ✅ Data Extraction & Summarization: AI extracts medical diagnoses, periods of incapacity to work, and generates AI-powered summaries of expert reports, using large language models (LLMs) to provide claim specialists with quick insights.

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The Future of AI in Claims Handling

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By integrating amaise’s AI solution, Baloise has laid the groundwork for an AI-powered claims processing future. The benefits of this pioneering innovation are already evident:

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🚀 Increased efficiency: Reducing manual workload and processing times significantly. 📂 Enhanced accuracy: Ensuring case files are complete, structured, and correctly classified. 📈 Scalability: AI-driven automation allows insurers to handle growing case volumes with ease.

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This collaboration marks a major milestone in the evolution of insurance claims management. AI is not just optimizing current workflows—it is setting the foundation for the future of smart, automated insurance processing.

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Acknowledgment & Next Steps

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We are excited to see amaise’s AI technology recognized as a candidate for the Swiss Insurance Innovation Award and look forward to continuing our work with Baloise and other forward-thinking insurers.

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💡 Stay tuned as we continue to transform insurance with AI-driven efficiency!

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📢 Read the full article on HANDELSZEITUNG and discover how AI is shaping the future of claims handling!