Data-entry time
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GDPRUSE CASE
Claim management
Mass-volume claims need decisions in minutes, not days. K2G's Claim Decision Support Agent reads every receipt, photo and handwritten certificate in the package, flags what doesn't fit policy, surfaces fraud signals — and recommends, with reason codes. The adjuster always owns the call.
The decision space
Mass claims is
signal in noise.
A retail health insurer settles 10,000+ small claims a month. Every claim is a small story buried under invoices, photos, handwritten certificates, and a customer who wants an answer by Friday. The data is there — the question is whether your team can reach the signal at retail volume.
K2G's Claim Decision Support Agent reads the package, checks the receipts, screens the photos against the story, asks the customer for what's missing — and recommends. The adjuster still owns the decision, but starts from a complete case, not a folder of scans.
Four chronic problems underwriters keep paying for.
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01
Manual transcription from scans and handwritten notes
Every medical invoice, every sick certificate, every garage estimate gets retyped by hand. A health-claims operator types more than they decide — and typos drift into the policy DB.
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02
Non-eligible line items slip through unnoticed
A dental bill has 17 line items; three are excluded by the plan. Reading every line for every customer is impossible at retail volume — so the excluded ones get paid by default.
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03
Missing documents eat the SLA
Half the FNOL queue is waiting on one missing item. Three email rounds, two phone calls, and the SLA clock keeps ticking — while the customer thinks no one is working on their case.
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04
Photos don't match the story — and we notice after we paid
Description says rear-end at the lights. Photos show left-rear quarter damage. The mismatch is obvious in 30 seconds — if anyone actually looks. At retail volume, no one has the time.
UNDERWRITING QUESTIONS
The questions that come in.
The questions that come in.
The recommendations that go out.
Four real prompts underwriters have sent to K2G — with the agent’s one-line verdict and the reasoning that backs it up.
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Agents used:
Result:
OPERATIONAL PERFORMANCE BENCHMARKS
Claims performance
Policy-fit decisions
Fraud signals caught
Adjuster owns the call
BEHIND THE SCENES
The agents powering claim management
TRUST & COMPLIANCE
Full Regulatory Compliance
At K2G we take security and compliance seriously. With K2G you can trust your data is in safe hands.
Our privacy-first, GDPR-compliant architecture uses local processing to secure all policyholder data.
We follow ISO 27001 standards, providing world-class security to safeguard your digital assets.
Built for finance, our DORA-compliant platform ensures the operational resilience required for modern insurance.
Bring a claims week.
Send us 500 anonymised health bills, a motor-private FNOL batch, or a stack of handwritten sick certificates. We'll OCR, eligibility-check, photo-screen and recommend — in 30 minutes.