Insurance claims adjusters spend over 100 minutes per case manually reviewing medical records. The EXL AI-powered Medical intelligent document processing (IDP) solution, built on AWS, transforms this process. It combines IDP with domain-specific large language models (LLMs) to extract, summarize, and query medical information at enterprise scale.
Challenge: Medical records are complex, voluminous, and critical
In insurance claims adjudication and life underwriting, medical records are the foundation of every decision. Claim adjusters and underwriters must review these records, often several hundred pages long, to assess validity, determine payouts, or make underwriting decisions.
The challenge isn’t simply volume. Medical records are unstructured, filled with specialized clinical terminology, and require the reviewer to connect disparate data points about a patient’s condition and its evolution over time. The documents themselves span dozens of…
