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    Securing a Competitive Advantage – AI for Insurance

    Every day, insurance companies receive a veritable flood of messages and customer inquiries through various digital communication channels. Our AI-powered solutions for automating insurance processes ensure the highest level of customer satisfaction—so inquiries no longer go unprocessed or end up with the wrong recipients! Thanks to our extensive portfolio of market-proven, industry-specific solutions, smart insurance companies benefit from numerous advantages.

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    A New Approach to Insurance—AI-Powered, Efficient, and Customer-Centric

    We’ve developed smart tools tailored to your customers’ needs that deliver exceptional value. This enables insurers to reduce manual effort, speed up processing times, and sustainably improve service quality. At the same time, the use of our AI solutions enables end-to-end traceability and compliance with regulatory requirements. This allows you not only to boost the efficiency of your processes but also to create a seamless, personalized customer experience—for an insurance company that operates as quickly and flexibly as its customers expect.

    Challenges in the Insurance Industry

    Increasing volumes of documents, rising customer expectations, and regulatory requirements are making manual processes a burden for insurance companies.

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    AI for Insurance

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    Cost Pressure

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    Increased Customer Communication

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    Competitive Pressure

    Standard Products for Private Health Insurance and TARMED

    • For more than 25 years, Insiders has been a reliable partner to the (health) insurance industry. From receiving claims documentation to case processing and billing—our standard products ensure time savings, quality, and efficiency throughout the entire process. Developed in close collaboration with our customers and continuously refined, they reflect decades of industry expertise.

    • smart PKV is our standard product for the automated processing of medical service claims in the German insurance market. It effortlessly distinguishes between more than 65 classes, extracts all relevant service data, and performs logical checks based on a comprehensive set of rules. Benefit from reduced manual effort and improved process quality!

    • smart TARMED+ is our standard product for the automated processing of medical service claims in the Swiss insurance market. Designed to align with the “tarif médical,” it immediately captures all data contained in the TARMED invoice, whether it is header or table information. Comprehensive logical and technical checks ensure exceptional quality and maximum efficiency.

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    Benefits for Insurance Companies

    From issue detection to claims processing—AI-powered automation makes your insurance processes faster, more accurate, and more scalable.

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    Lower error rate

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    Greater automation for the entire process

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    Productivity Improvement

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    Improved Process Control

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    Policies

    Automation allows application data to be captured, verified, and processed based on rules—all the way through to policy generation and digital delivery. This reduces processing times, minimizes errors, and significantly speeds up the contract creation process. As a result, the entire underwriting process becomes more efficient and customer-friendly.

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    Issue Identification

    By using AI-powered issue detection, incoming requests—such as damage reports, contract changes, or service requests—can be analyzed and correctly classified in real time. This automates follow-up processes, shortens processing times, and enables more efficient use of resources. This improves service quality, reduces the workload on staff, and creates tangible competitive advantages.

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    Automated Claims Management

    Incoming claims are automatically classified using AI, relevant information is extracted, and the claims are forwarded directly to the appropriate systems or claims adjusters. This reduces the need for manual review, speeds up processing times, and enables consistent, transparent case handling—while also increasing customer satisfaction and lowering operating costs.

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    OmnIA – the automation platform

    OmnIA is our market-established standard product for the automated processing of your entire incoming correspondence – regardless of input channel, format, and structure. All incoming messages are captured in a single system and classified based on textual and visual features. Relevant information is automatically extracted, validated, and routed to the correct business process. This way, you optimize your processes from data intake through to the completion of the business transaction.

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    Flow – Response Management in Record Time

    Our software not only routes messages to the right recipients – from customer advisors and support to qualified decision-makers – faster than any human, it can even answer typical inquiries independently or provide staff with intelligent suggestions. Combined with simple, straightforward integration into your system, this saves you valuable time and ensures the sustainable optimization of your processes.

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    Insiders in Action at Debeka

    “Together with Insiders Technologies, you can break new ground in AI and be confident that the quality will be right in the end. The future of digitalization will lie in complementing rule-based systems with AI-based systems—just as smart FIX already offers today.”

    Patrick Schneider
    Debeka Krankenversicherungsverein A.G.

    Our Customers' and Partners' Success Stories

    AI in business boosts efficiency, reduces costs, and unlocks new opportunities for innovation in nearly every industry. Our customers’ use cases demonstrate how successful process optimization makes companies more efficient and innovative. By implementing intelligent solutions, they have been able to optimize their business processes and achieve sustainable competitive advantages. Let our success stories inspire you!

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    AI processes 7 million documents automatically

    Millions of documents from a wide variety of channels, rising demands for speed and automation — for ING, powerful input management is business-critical. With the AI-based platform OmnIA from Insiders Technologies, the direct bank succeeds in automatically processing large parts of its incoming mail, significantly shortening turnaround times, and sustainably relieving the burden on business departments.

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    AI-powered classification boosts automation

    With the Cognitive Classifier from Insiders Technologies, BGV increases full automation in input management by 10 percentage points. With more than 650,000 incoming documents annually and around 95 percent average classification accuracy, BGV achieves a new level of quality in automated processing — providing noticeable relief for employees and stable processes even during peak periods.

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    Highly Automated Document Processing in Accounts Receivable Management

    Each year, EOS Deutscher Inkasso-Dienst processes approximately 2.5 million incoming documents—ranging from invoices and emails to handwritten notes. For automated classification, EOS relies on the OmnIA solution from Insiders Technologies, supplemented by the new Integration Layer for OCR (ILFO).

    Securely Orchestrating Agentic AI with OmnIA

    AI agents are increasingly planning, deciding, and acting independently – yet without central control, traceability is lost. OmnIA integrates agentic AI applications into your existing IT landscape in a controlled, explainable, and data-protection-compliant manner.

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