Insurance regulations and policies are in constant flux.
Handling claims requires the intuition of highly-skilled assessors, who will pore over hundreds of pages of texts, handwritten notes, blogs, and various other sources to keep up with regulation changes and make consistent decisions.
Adding to its challenge, the degree of variation in member coverage makes it difficult to add help by training new employees.
That’s why insurance companies are teaching Watson Explorer to understand the interactions, rules, and processing logic that can apply to policies.
Watson’s ability to analyze structured and unstructured data, reference the right policy information and input documents, and then make insightful recommendations, can help employees determine whether a claim is eligible and what percentage of the claim should be paid. So with Watson, employees can make better decisions and get better results faster.