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Claims cycle-time reduction
Faster fast-track routing
Lower adjuster workload variance
A Top-20 P&C insurer faced growing cycle-time pressure across the claims lifecycle, with property claims commonly taking 30+ days and complex bodily-injury claims running multiple times longer.
The broken point was triage. Claims teams relied on manual review to assess severity, coverage signals, documentation completeness, adjuster workload, litigation risk, and fast-track eligibility. Without a unified intelligence layer, easy-to-resolve claims were delayed, complex claims waited too long for specialist handling, and adjuster queues became unbalanced.
The consequence was direct operating and indemnity exposure: longer claims duration, missed fast-track opportunities, workload imbalance, leakage, and inflated claim costs. The executive trigger was a claims leadership mandate to reduce cycle time by 35% while improving routing discipline and adjuster capacity management.
Novacis Digital delivered AI-Powered Case Management, a claims lifecycle solution for P&C insurers seeking faster triage, smarter routing, and controlled claims execution.
The solution scored each claim using loss type, severity indicators, coverage signals, documentation completeness, bodily-injury markers, litigation risk, adjuster workload, and fast-track eligibility. It routed simple claims into accelerated handling, escalated complex claims to specialist review, balanced adjuster queues, and gave leaders visibility into cycle time, workload, leakage risk, and claim aging.
Unlike generic claims workflow tools, the solution connected AI triage, case ownership, routing rules, workload balancing, human-in-the-loop review, audit history, and executive dashboards in one governed case management layer. Claims teams retained final authority through validation checkpoints, escalation controls, and exception review.
This shifted the operating model from manual claims triage to AI-Powered Case Management for lifecycle-wide claims execution.
Claims Lifecycle Capabilities
AI-Powered Case Management Features
Novacis Digital piloted the AI-Powered Case Management Solution across 2 claims regions in 10 weeks, then scaled the operating model across the Top 20 P&C insurer’s claims lifecycle over 18 weeks. The rollout covered claim intake scoring, fast-track detection, complex-case escalation, adjuster workload balancing, human validation, audit history, and executive claims visibility.
Early wins included a 35% reduction in average claims cycle time, 42% faster fast-track routing, and 18% lower adjuster workload variance. These results directly addressed the original challenge: helping claims teams identify faster resolution paths, route complex bodily-injury files earlier, and reduce leakage from delayed or uneven handling.
Reduced claims cost exposure by cutting average cycle time 35%, lowering leakage risk from aged and delayed files.
Improved fast-track routing speed by 42%, helping eligible low-complexity claims move to accelerated handling sooner.
Strengthened claims capacity by lowering adjuster workload variance 18% across priority queues and claim teams.
Delivered claims lifecycle coverage across intake scoring, fast-track detection, specialist escalation, workload balancing, human validation, and executive visibility.
Reduced manual coordination across triage, assignment, escalation, supervisor review, and workload rebalancing.