Insurance Case Studies

Real-world results from leading insurance providers

Intelligent Underwriting Assistant

Commercial Lines Insurer

A commercial lines insurer struggled with lengthy underwriting cycles that were costing them business. Their underwriters spent most of their time gathering data from applications, loss runs, financial statements, and third-party sources—leaving little time for actual risk assessment and relationship building with brokers.

The Challenge

  • Average quote turnaround time of 5-7 business days
  • Underwriters spent 70% of time on data gathering vs. analysis
  • Inconsistent risk assessment across the team
  • Losing business to faster-moving competitors

Results

70%
Faster Quotes
5-7 days to 1-2 days average
40%
More Submissions
Capacity to handle more business
25%
Better Loss Ratio
More consistent risk selection

Solution Highlights

Orion AI deployed an intelligent underwriting assistant that automatically extracts data from applications, loss runs, financial statements, and industry reports. The system aggregates information into a standardized risk profile, identifies coverage gaps and concerns, and provides pricing recommendations with full explainability. Underwriters now focus on risk assessment and broker relationships rather than data entry. Straight-through processing handles 30% of standard submissions automatically.

Automated Claims Processing

Property & Casualty Insurer

A major P&C insurer faced mounting pressure to improve claims handling speed and customer satisfaction. Their adjusters were overwhelmed with volume, spending hours on routine data entry and document review for simple claims while complex cases sat in queue. Customer complaints about slow settlements were damaging retention rates.

The Challenge

  • Average claims settlement took 21 days
  • Adjusters handled 80% routine claims manually
  • Document processing bottleneck on medical bills and repair estimates
  • Customer satisfaction scores declining year-over-year

Results

60%
Faster Settlement
21 days to 8 days average
55%
Straight-Through
Claims processed automatically
22pts
NPS Improvement
Customer satisfaction increase

Solution Highlights

Orion AI implemented an end-to-end claims automation platform that processes first notice of loss, extracts information from claim documents and photos, validates coverage, and calculates settlement amounts for straightforward claims. The system automatically routes complex claims to specialized adjusters with all relevant information pre-organized. AI-assisted damage assessment using photos provides repair estimates within minutes. Human adjusters now focus on complex cases and customer relationships.

Fraud Detection & Prevention

Multi-Line Insurance Group

A multi-line insurance group estimated they were losing $50M+ annually to fraud but catching only a fraction with their rule-based detection system. Organized fraud rings had learned to avoid triggering existing rules, and investigators were overwhelmed with false positives that consumed resources without finding actual fraud.

The Challenge

  • Rule-based system generated 85% false positives
  • Organized fraud rings evading detection
  • Investigators overwhelmed with low-quality referrals
  • Estimated $50M+ annual fraud losses

Results

85%
Detection Rate
Up from 35% with rules
70%
False Positives Reduced
Focused investigator time
$18M
Annual Savings
From prevented fraud

Solution Highlights

Orion AI deployed a multi-layered fraud detection system that combines machine learning on historical claims data with network analysis to identify organized fraud rings. The system scores every claim and application in real-time, adapting to new fraud patterns as they emerge. Graph analysis detects hidden relationships between seemingly unrelated claims—shared addresses, phone numbers, providers, and representatives. Investigators receive prioritized case referrals with detailed evidence summaries, dramatically improving their effectiveness.

Intelligent Customer Service Hub

Personal Lines Insurer

A personal lines insurer serving millions of policyholders struggled to maintain service levels during volume spikes—especially after weather events when call volumes could triple overnight. Customers faced long hold times for simple questions about coverage, payments, and claims status, driving up churn rates among otherwise profitable policyholders.

The Challenge

  • Average hold time of 15+ minutes during peak periods
  • 65% of calls were routine status and coverage questions
  • Call center costs growing 12% annually
  • Policyholder retention declining after service interactions

Results

<60s
Response Time
For AI-handled inquiries
68%
Self-Service Rate
Resolved without agent
35%
Cost Reduction
Per customer interaction

Solution Highlights

Orion AI deployed an intelligent customer service platform handling inquiries across web chat, mobile app, and phone channels. The system provides instant answers to policy coverage questions, payment inquiries, and claims status—integrating directly with policy administration and claims systems for accurate, real-time information. For claims, the AI handles first notice of loss intake, collecting all required information before routing to adjusters. Seamless escalation to human agents includes full context, reducing handling time even for complex issues. During catastrophic events, the system scales automatically to handle volume spikes without degradation.