How Insurance Document Generation Benefits Claims Teams

Enhance Claims Processing and Delight Customers with AI Document Generation for Insurance

Managing insurance claims is burdensome.

Claims teams exhaust a lot of resources on creating and managing documents with stakeholders.

But reviewing, documenting, and communicating claim updates only exacerbates caseloads. This strains not only efficiency levels but also customer satisfaction.

Excessive time spent on documentation means less time helping claimants return to work or cover a medical expense.

Automating these processes with document generation can help. But how does document generation for insurance work? And can it fit into larger strategic initiatives carriers have for AI document automation?

This article outlines what insurance document generation is, how it helps claims teams & benefits claims executives and how intelligent document generation works in Owl.co’s Claims Intelligence ecosystem to empower carriers to better support customers.

The Challenges Claims Departments Face

Caseloads are overwhelming claims adjusters. They’re mandated to mitigate expenses and help claimants feel supported to boost customer loyalty—a tough balancing act.

The last thing they need is to spend extra time modifying document templates and communicating claim updates.

But that’s exactly what’s happening in many claims departments.

Reports say almost half of frontline claims staff spend at least 30% of their time on administrative tasks and documents for communication.

Those same reports also show that caseloads of more than 111 per adjuster create diminishing returns for carriers. Yet 62% of adjusters have caseloads over 100 and 47% over 125.

The math isn’t mathing, as they say. Too many adjusters waste time on templates and documents while dealing with large caseloads.

Leveraging AI claims processing helps claims executives futureproof operations. But it also eases adjuster workloads and supports customers with claim outcomes.

Benefits include AI for insurance fraud protection as automation capabilities—like document generation—enable claims teams to better manage processes and make smart decisions.

But as importantly, AI for insurance reduces human bias. Unsustainably large caseloads otherwise aggravate an adjuster’s ability to fairly provide genuine claimants with the attention they deserve.

So how does document generation fit into plans for modernizing systems with AI? And how does it humanize the claims process for claims teams and customers alike?

Why AI Document Generation for Insurance Benefits Adjusters

AI solutions for claims departments often use intelligent document processing to automate tedious adjuster tasks, such as scanning and summarizing claims documents.

So AI document automation for insurance typically describes technology that processes existing paper documents, such as notices of claim, doctor statements, and employment reports.

But what about creating new documents?

When a material change occurs on an open claim—say, a vocational assessment of a disability claimant to determine occupational eligibility—adjusters might lack the knowledge, let alone the time, to adequately understand the assessment’s impact.

They will summarize the claims history with the change updates to communicate with stakeholders about next steps.

But manually creating, sharing, and managing these documents is a resource strain. To say nothing of staying alert to material changes (such as a new vocational assessment).

That’s where document generation comes in.

What Is Insurance Document Generation?

Document generation is any technology that produces documents based on predefined templates and data inputs.

Document generation for insurance is the process of automatically creating documents from templates about an insurance claim where data inputs involve material changes to a claim.

In the Claims Intelligence ecosystem, AI document generation is fully integrated into OwlVision, Owl.co's product for automatically processing and summarizing claims documents at scale for claims teams.

This document generation works for insurance carriers in two steps: 1. template creation and 2. document production.

1. Template Creation

Adjusters create a template, such as a summary document about a claim, and then define inputs on the document to trigger the automation.

For example, the template could include sections about a claimant’s medical status, injury details, or work history.

Templates can cover many use-cases, like claim-status reports, expert-request forms, or settlement proposals.

2. Document Production

Once adjusters map template sections to data points in the claimant’s profile, when AI scans a material change, it produces the document and organizes it in a document-management dashboard.

Say an adjuster receives a disability claimant's vocational assessment. The AI extracts the relevant details and automatically creates the summary document. Now, adjusters can collaborate on open claims with ease.

If the adjuster needs a document to request a medical opinion or to send a letter to the claimant, they can do that too.

AI Document Generation produces, sorts, and stores any document type claims teams need to manage a claim.

How AI Document Generation Humanizes Insurance

Automating templates and generating documents benefits the bottom line. It also enables adjusters to tackle caseloads and help claimants, boosting customer satisfaction.

By servicing customers, insurance document generation supports a carrier's mission to transform into an AI-powered insurance company in ways that humanize insurance.

AI in document generation for insurance de-risks bias. It doesn't rely on predictive AI that makes claim decisions and replaces human creativity. Instead, it analyzes large volumes of files, summarizes complex data, and automates tedious tasks.

With intelligent document generation, claims executives can improve efficiency without compromising ethical standards.

Owl.co’s Claims Intelligence ecosystem features document generation for insurance claims teams to combine AI with human ingenuity and make insurance human again. Book a demo today to begin transforming your organization.