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Sedgwick Enters Next Phase of AI Technology Development to Transform the Claims Industry

Sedgwick Enters Next Phase of AI Technology Development to Transform the Claims Industry

塞奇威克进入下一阶段的人工智能技术开发,以改变理赔行业
PR Newswire ·  05/02 11:00

Industry leader announces slate of technology innovations and updates

行业领导者宣布了一系列技术创新和更新

MEMPHIS, Tenn., May 2, 2024 /PRNewswire/ -- Sedgwick, a leading global provider of claims management, loss adjusting and technology-enabled business solutions, announced today ahead of the upcoming RISKWORLD 2024, the annual conference of RIMS, several new updates to its artificial intelligence-powered (AI) technology program. Building on a half-century of claims handling excellence and a robust data science program, Sedgwick remains at the vanguard of technological innovation in the industry with its pioneering generative AI technologies and claims management applications.

田纳西州孟菲斯,2024 年 5 月 2 日 /PRNewswire/ — 塞奇威克是一家全球领先的理赔管理、损失调整和技术业务解决方案提供商,在即将到来的RISKWORLD 2024,即RIMS年度会议之前,今天宣布对其人工智能驱动(AI)技术计划的几项新更新。在半个世纪的卓越理赔处理和强大的数据科学计划基础上,Sedgwick凭借其开创性的生成式人工智能技术和索赔管理应用程序,仍然处于行业技术创新的前沿。

The latest enhancements are significant milestones on Sedgwick's journey of technology evolution and have been supported by dedicated research and development in predictive modeling, machine learning and now, generative AI. This work has been propelled by the company's vast global dataset and expert in-house data science and technology teams. Their goal is to expedite the claims process by predicting, addressing, and automating steps in the claim lifecycle, thereby enhancing consumer experiences, and streamlining claim resolutions. Claim resolution times are expected to decrease, early adopters will swiftly benefit from the technological advancements, and the overall experience for Sedgwick's consumers and clients will be significantly elevated.

最新的增强功能是塞奇威克技术发展之旅中的重要里程碑,并得到了预测建模、机器学习以及现在的生成式人工智能方面的专门研究和开发的支持。这项工作是由该公司庞大的全球数据集和内部专业数据科学和技术团队推动的。他们的目标是通过预测、解决和自动化索赔生命周期中的步骤来加快索赔流程,从而改善消费者体验并简化索赔解决方案。索赔解决时间预计将缩短,早期采用者将迅速从技术进步中受益,塞奇威克消费者和客户的整体体验将得到显著改善。

Sedgwick's technology stack is built around several AI-enhanced tools that comprise a scalable, rapidly deployable platform. Recent enhancements to Sedgwick technologies include:

Sedgwick 的技术堆栈围绕几种 AI 增强型工具构建,这些工具构成了可扩展、可快速部署的平台。Sedgwick 技术的最新增强包括:

Sidekick+: In April, Sedgwick achieved integration of generative AI tools into its proprietary technology program with a best-in-class claims workflow. New updates to Sidekick+, an industry-first application that integrates Microsoft/OpenAI's ChatGPT technology with Sedgwick's established claims management tools, leverage API integration so that claim professionals automatically receive medical document summarizations directly into their claim files. Sidekick+ has processed 50,000 documents in the initial pilot with greater than 98% accuracy in its summarizations. Sidekick is bundled with Sedgwick's digital intelligence suite, including predictive models and decision engines, so that AI can prescribe optimal workflows, leading to genuine process transformation. Sedgwick was named by Foundry's CIO as a 2024 CIO 100 Award winner for Sidekick+, which is a first-of-its-kind application developed by the company's technology team. Foundry's CIO 100 award recognizes enterprise excellence and innovation in IT.

Sidekick+: 4月,Sedgwick通过一流的索赔工作流程实现了将生成人工智能工具集成到其专有技术计划中。Sidekick+是业界首款将微软/OpenAI的ChatGPT技术与塞奇威克成熟的索赔管理工具相集成的应用程序,其新更新利用了API集成,使索赔专业人员自动将医疗文件摘要直接发送到他们的索赔文件中。Sidekick+在最初的试点项目中已经处理了50,000份文档,其摘要的准确率超过98%。Sidekick与Sedgwick的数字智能套件捆绑在一起,包括预测模型和决策引擎,因此人工智能可以规定最佳的工作流程,从而实现真正的流程转型。塞奇威克被Foundry首席信息官评为Sidekick+的2024年首席信息官100强奖得主,Sidekick+是该公司技术团队开发的首款此类应用程序。Foundry 的 CIO 100 奖旨在表彰企业在 IT 领域的卓越表现和创新。

AI care guidance: Sedgwick has expanded its offerings with the launch of an AI-powered care guidance application to identify claims on workers' compensation programs with integrated managed care whose progression could benefit from early clinical intervention. The proprietary model uses modern AI, machine learning and natural language processing to rapidly review unstructured data — such as claim notes, correspondence, medical bills, and clinical documentation — and collect meaningful, actionable information for review. By identifying subtle patterns that might otherwise be overlooked, AI care guidance detects the warning signs of claim severity early in the process and facilitates prompt referrals to appropriate clinical resources.

AI 护理指南: 塞奇威克推出了基于人工智能的护理指导应用程序,扩大了其产品范围,该应用程序旨在识别对综合管理式医疗的工伤补偿计划的索赔,这些计划的进展可能受益于早期临床干预。该专有模型使用现代人工智能、机器学习和自然语言处理来快速审查非结构化数据(例如索赔记录、信函、医疗账单和临床文档),并收集有意义的、可操作的信息以供审查。通过识别原本可能被忽视的细微模式,AI 护理指南可在流程的早期发现索赔严重程度的警告信号,并促进及时转诊到适当的临床资源。

mySedgwick: With an eye toward continued innovation addressing communication gaps in the claims process, mySedgwick — Sedgwick's customer-centric self-service tool and virtual guide through the claims journey — has been refreshed with a simplified, mobile- first user experience for U.S. casualty and workforce absence clients and their employees/customers. Today, nearly 70% of claimants use mobile devices to check on their claims and ask questions — up from 30% just three years ago. AI-backed chat capabilities can address many claims questions in real time or direct claimants to their assigned examiners for more complex queries. This update simplifies the claims experience and meets claimants where they are in the digital realm.

mySedgwick: 着眼于持续创新,解决索赔流程中的沟通差距, mySedgwick — Sedgwick以客户为中心的自助服务工具和理赔过程虚拟指南已更新,为美国伤亡和员工缺勤客户及其员工/客户提供了简化的移动优先用户体验。如今,将近70%的索赔人使用移动设备查看索赔和提问,高于三年前的30%。人工智能支持的聊天功能可以实时解决许多索赔问题,或者将索赔人引导至指定的审查员进行更复杂的查询。此更新简化了索赔体验,满足了索赔人在数字领域的需求。

"Our work in bringing together GenAI, data science and 50 years of experience, knowledge and data has empowered Sedgwick to make the claims model more intelligent, more consumer- and customer-centric, and more situation-specific than ever before," said Leah Cooper, Sedgwick's Global Chief Digital Officer. "We have the tools, the experience and a wealth of data in meaningful insurance categories to be able to develop solutions that, when married with meaningful human engagement and decision-making, can shape the claims resolution in a more advanced way."

塞奇威克全球首席数字官利亚·库珀表示:“我们在整合GenAI、数据科学和50年的经验、知识和数据方面所做的工作使塞奇威克能够使索赔模型比以往任何时候都更智能、更以消费者和客户为中心、更具针对性地适应情况。”“我们在有意义的保险类别中拥有工具、经验和大量数据,能够开发解决方案,这些解决方案与有意义的人类参与和决策相结合,可以以更先进的方式制定索赔解决方案。”

With 2,000 dedicated IT and data science colleagues, Sedgwick continues to deliver exceptional technology-enabled solutions that support many of the world's premier employers and insurers. For more on Sedgwick's technology offerings, see sedgwick.com/solutions/technology.

Sedgwick 拥有 2,000 名专职的 IT 和数据科学同事,继续提供卓越的技术解决方案,为许多全球顶级雇主和保险公司提供支持。有关塞奇威克技术产品的更多信息,请参阅 sedgwick.com/解决方案/技术

About Sedgwick
Sedgwick is a leading global provider of claims management, loss adjusting and technology- enabled business solutions. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, brand protection and other lines. At Sedgwick, caring counts; through the dedication and expertise of 33,000 colleagues across 80 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact performance. Sedgwick's majority shareholder is The Carlyle Group; Stone Point Capital LLC, Caisse de dépôt et placement du Québec (CDPQ), Onex and other management investors are minority shareholders. For more, see sedgwick.com.

关于塞奇威克
Sedgwick是索赔管理、损失调整和技术支持业务解决方案的全球领先提供商。该公司提供广泛的资源,以满足客户在意外伤害、财产、海运、福利、品牌保护和其他领域的特定需求。在塞奇威克,关爱至关重要;通过来自80个国家的33,000名同事的奉献精神和专业知识,公司通过降低和减少风险和损失、促进健康和生产力、保护品牌声誉以及控制可能影响绩效的成本来照顾个人和组织。塞奇威克的大股东是凯雷集团;Stone Point Capital LLC、魁北克储蓄银行(CDPQ)、Onex和其他管理投资者是少数股东。欲了解更多信息,请参阅 sedgwick.com

SOURCE Sedgwick Claims Management Services, Inc.

来源 Sedgwick 理赔管理服务公司

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