Insurance
Pay honest claims faster; catch the networks behind the rest.
Claims fraud and slow claims come from scattered documents, photos and hospital/garage data.
The question it answers
“Which garages and agents appear together in unusual claim patterns?”
What changes: Lower fraud, faster settlement for honest claims.
All seven layers
How ForgeOrbis works for insurance.
- 01
Connect
IngestData sources
- Policy administration
- Claims system
- Hospital and garage networks
- Payments
- Call centre
- 02
Understand
ExtractFacts from unstructured data
- Claim forms, medical bills, discharge summaries, accident photos
- 03
Unify
ResolveWhat must be matched
- Claimants, hospitals, garages and agents with variant names
- Repeat claimants
- 04
Relate
ModelObjects and links (the ontology)
- Policy
- Claim
- Claimant
- Hospital
- Garage
- Agent
- Payment
- Document
- 05
Decide
AskExample question
“Which garages and agents appear together in unusual claim patterns?”
- 06
Execute
ActApproved actions
- Flag claim for investigation
- Request documents
- Fast-track clean claims
- 07
Trust
GovernTrust and compliance
- Insurance regulator rules
- Health-data privacy
- Audit
What a pilot measures
Each pilot measures 2 to 3 KPIs you already track, before and after. We publish no benefit numbers until a customer has measured them.
- Claim settlement time
- Fraud detected
- Loss ratio
- Investigation hit rate
Who it is for
- Chief claims officer
Where it stands today
What runs today, and what we are still building.
We would rather tell you up front than discover it in week three. A pilot starts with what runs today.
The platform
- 01ConnectIngestPartly live
- 02UnderstandExtractPartly live
- 03UnifyResolveRoadmap
- 04RelateModelPartly live
- 05DecideAskLive
- 06ExecuteActLive
- 07TrustGovernPartly live
Still to build for insurance
- Document extractionLayer 2OCR + layout, forms, tables, scanned records, stamps
- Video/image extractionLayer 2Object detection/tracking, number plates, drone and CCTV imagery
- Entity resolution (people/orgs)Layer 3Persons, companies, aliases, phones, addresses, related parties
- Regulated-data complianceLayer 7Evidence admissibility, financial/health/GMP data rules
Live means shipping in the product today. Partly live means part of the layer ships today and the rest is being built. Roadmap means being built and not available yet. We never show it as available.
Book a pilot
One site, one problem, measured in weeks.
Each pilot measures 2 to 3 KPIs you already track, before and after. We publish no benefit numbers until a customer has measured them.