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Claims Modernization for a Global Insurance Leader

The world of artificial intelligence AI has entered a new era of intense global competition and rapid innovation In recent months a Chinese startup called DeepSeek upended conventional wisdom by building a stateoftheart AI model in a matter of weeks-1

Industry

Insurance – Life, Property & Casualty

Challenge

The client faced slow, manual claims processing, siloed case data, and limited segmentation. Adjusters struggled with prioritization and fraud detection, leading to rising costs, regulatory risk, and diminished customer satisfaction.

Results

40% reduction in claims resolution time Enhanced adjuster productivity through dynamic workload balancing. Boosted policyholder satisfaction via faster turnaround and transparency

$1.2M+
Total Spend
40%
Claims Resolution Time Reduction
3.2x
Accuracy Increase in Triage/Fraud
$3.2M+
Annualized Ops Savings

“MapleSage helped us reimagine claims, not just digitize it. We now close cases faster, with better insight and higher satisfaction.”— AVP Claims Operations, Global Insurance Client (Confidential)

Kavin Newman

AVP Claims Operations, Global Insurance Client (Confidential)

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About your Customer

Global Life & P&C Insurance Group

A multi-line insurance provider operating across North America and the Caribbean, offering a full suite of products in Life, Health, and P&C. Known for its legacy systems and large claims volume, the client sought digital transformation to increase agility and improve customer satisfaction.

The Challenge

Explain the challenge or opportunity in front of the customer before they did business with you. This could be either a reactive reason (i.e. the customer had an issue that needed to be addressed) or a proactive reason (i.e. there was untapped potential that was unleashed by working with your business, product, or service).

The Solution

We led a full-scale claims transformation, introducing intelligent automation and integrating claims data with core systems and CRM.

Key actions:

  • Deployed AI-powered triage and automated case routing

  • Built a centralized claims dashboard with CRM integration

  • Implemented machine learning models for fraud detection trigger

Tech Stack:

Salesforce Financial Services Cloud, HubSpot Service Hub, AWS, Custom ML Models

“MapleSage helped us reimagine claims, not just digitize it. We now close cases faster, with better insight and higher satisfaction.”— AVP Claims Operations, Global Insurance Client (Confidential)

The Results

In closing, speak to the results your customer saw after using your product. This section can be supported by statements, quotes, visuals, graphs, and metrics. Whatever you decide to include, be sure it illustrates how much of an impact your company made on your customer.

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