DeepClaims AI

• Accident Report Management (auto)
• CICOS automated insertion
• Third-Party Liability
• Weather-Related Damages
• Consortium-Eligible Claims (like DANA)
• Glass Breakage
• Mechanical Warranty
• Electrical Damage
• Expert / Adjusters Reports Analysis
• Litigation Outcome Prediction based on Previous Rulings
• Travel Assistance

Powered by DeepCore AI Technology. http://deepcoreai.net The leading AI platform for corporations

Thanks to Generative AI, DeepClaims can understand and process large volumes of information from various data sources. Our model:

• Automatically classifies incoming documents and links them to the corresponding claim.
• Analyzes and extracts relevant data from reports, invoices, photographs, and other attached documents.
• Understands the context and relationships between pieces of information, enabling more accurate claims management.
• Continuously learns from past cases to improve the detection of fraud, anomalies, and behavior patterns.
• Offers real-time suggestions for resolutions and damage assessments, reducing human error margins.

By using our Generative AI technology, we transform how insurance companies manage claims, optimizing processes, reducing time and costs, and improving customer satisfaction.

DeepClaims analyzes claim histories to detect anomalies, protecting your business.

• Cross-references customer history with external databases.
• Highlights suspicious patterns in claims documentation.
• Identifies duplicate or overlapping claims.
• Monitors claim amounts and triggers alerts for unusually high values.
• Utilizes machine learning to adapt fraud detection models over time.
• Generates detailed fraud investigation reports.

Areas impacted include: Claims, Underwriting, Compliance, Legal, Commercial, Customer Service, Finance, Providers, and more.

• Increased speed in closing massive claims.
• Automated Fast-Track claims management (100%).
• Analysis of average costs and detection of deviations.
• Automatic reading and interpretation of invoices, images, and related documents in any language.
• Real-time updates of claim reserves.
• Change in claims management philosophy (managing claims agents’ schedule vs. current email inbox approach).
• Automatic calculation of damage values to determine compensation or referral to Technical Services.

• They analyze the extent of damages covered by the policy, according to the product’s General and Particular/Special Conditions, identifying coverage and exclusions, thus reducing human errors.
• They determine and update the claim reserve based on the scope of the claim and the documentation provided by the insured.
• They identify third parties responsible in order to facilitate recovery after or during the claim management.
• They analyze possible fraud following different parameters (images, claim reports, surveyor notes, appraiser input, and claims history).
• They evaluate and update the average claim costs in line with the company’s interests.

• Number of Claims Processed – 96,000 per day (24/7 automated capacity)
• Faster Claim Life Cycle – streamlined processes reduce handling times
• Resolution on First Contact – immediate decision-making for simpler cases
• Fraud Detection – AI continuously monitors for suspicious patterns
• Lower Cost per Claim – minimized manual tasks and efficient workflows
• Optimized Average Payout per Claim – data-driven accuracy ensures fair settlements
• Higher NPS / Customer Satisfaction – faster service and clearer communication

• Review of expert reports vs. Specific and General Conditions (Consortium-eligible weather damages).
• Identification of statements, liability assessment, and profitability calculation (CICOS modules).
• Analysis of home-claim invoices compared to Assistance Companies’ fee schedules (Provider Control).
• Handling of electrical damage claims (compensation vs. repair analysis).
• Management of mechanical warranty claims (documentation analysis).
• Third-party claim processes for identified personal and/or property damages (Recourse).
• Management of consortium-eligible damages (DANA).
• Management of Travel Assistance claims.
• Legal claims analysis.
• Email inbox management (documentation, coverage, and valuation analysis).

Also covering: Average cost analysis / Reserves / Frequently used guarantees / Fraud

15,000 Claims in 72 Hours – DANA Valencia

• DANA Valencia

Scope: Massive analysis of premium payments, policies, the situation of insured risks, and the collection of bank account data for CCS payouts.

7,500 Meteorological Claims Processed

• Meteorological Damages

Scope: Analysis of surveyor reports for meteorological damage claims caused by water, wind, hail, and/or snow.

6,500 Claims Analyzed

• Personal Injury Claims
• Class Action

Scope: Analysis of medical reports, exam results, surgeries performed, implant labels, and other documents.

• Analysis of average costs and detection of provider deviations and comparisons.
• Control of average turnaround times in derived services.
• Compliance control in the area (supplier contracts and regulatory compliance).
• Control of fraud arising from claims management (analysis of submitted invoices).
• Control of billing deviations vs. the assistance company's fee schedule.

• Analysis of average claim costs by line/product/coverage.
• Analysis of main coverages with the highest claim frequency.
• 100% omnichannel management of new production underwriting (WhatsApp + AI).
• Automatic reading and interpretation of relevant documents for coverage determination in lines/products that require documentation analysis.
• Control of the policy portfolio signed by the insured in the insurance company’s DB.
• Control of clauses outside the underwriting rules in the active portfolio history.

• Control of clauses outside underwriting rules in the active portfolio history.
• Control/analysis of technology provider contracts to comply with DORA regulations.
• Control of the policy portfolio signed by insured parties in the company’s DB.
• GDPR control regarding the use of AI in a secure environment (the company’s own instance).

• Improved SLAs through automated email inbox management with AI.
• 100% omnichannel customer service (WhatsApp + AI).
• Reduction of calls and expansion of 24h/365d service without referring to external providers.
• Predictive NPS analysis.

• Real-time control of updated reserves.
• Real-time control of CICOS modules (debtor/creditor) to view balances.