How InsureCorp Leveraged Agentic AI to Automate Complex Insurance Claims Processing in Salesforce
insurecorp-agentic-ai-claims-automation
Industry:
Insurance
Duration:
4 weeks (pilot implementation)
Salesforce Platform; Einstein GPT; Custom Apex Agents; External Data Integrations; Computer Vision Models
The Challenge
InsureCorp’s claims handling process was slow and labor-intensive, taking 5–7 days to complete. Agents manually reviewed policy documents, cross-checked claimant data, assessed damage reports, and screened for fraud across disconnected systems. The result was delayed payouts, high operational costs, and declining customer satisfaction.
Solution
360QuantumSolutions built an Agentic AI system inside Salesforce, orchestrating multiple specialized agents to automate the end-to-end claims process:
Autonomous Research Agent interprets policy and regulatory documents in seconds.
Data Validation Agent cross-references claimant data with internal and external sources.
Assessment Agent uses computer vision to analyze damage photos and repair estimates.
Orchestrator Agent manages the workflow and escalates final decisions to human reviewers.
The solution was developed with Einstein GPT, custom Apex agents, and integrated external data sources — all deployed in a 4-week pilot focused on auto claims.
Results
Results:
⏱️ 85% faster claims processing (7 days → ~1 day)
💰 40% reduction in manual processing costs
🎯 95%+ accuracy in initial assessments (+20% gain)
📈 30% improvement in customer satisfaction (CSAT)
🔍 Fraud detection confidence increased to 99%
Outcome
The project fundamentally changed how InsureCorp approached claims processing — shifting from reactive workflows to proactive service delivery. With AI handling the heavy lifting, agents could focus on exceptions and customer care. The pilot’s success paved the way for scaling automation across all lines of business, positioning InsureCorp as a forward-looking insurer delivering faster, smarter, and more trusted service.