Helvetia Insurance Group
Claims Processing Automation for 4M+ Policyholders
An autonomous AI claims processing engine that handles initial assessment, document verification, and payout calculation for one of Switzerland's largest insurers.
The Challenge
Helvetia's claims department processed 800+ daily claims manually, with an average handling time of 45 minutes per claim. Seasonal spikes caused backlogs of 3-4 weeks, impacting customer satisfaction and regulatory compliance.
Our Solution
We built an AI agent system that autonomously processes straightforward claims end-to-end: document intake and OCR, policy verification, damage assessment via image analysis, and automated payout calculation with human-in-the-loop for edge cases.
Architecture
- Agentic workflow engine with 14 specialized AI agents
- Computer vision pipeline for damage assessment (photos/videos)
- Integration with legacy SAP claims management system
- Audit trail and explainability layer for regulatory compliance
- On-premise deployment meeting Swiss data residency requirements
Results
-60%
Processing time
94%
Accuracy rate
€8.2M
Saved per year
Client Testimonial
“The system handles 74% of our claims autonomously now. Our team focuses on complex cases where human judgment truly matters.”
Dr. Stefan Keller
Head of Claims Innovation, Helvetia Insurance Group