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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

塞奇威克進入下一階段的人工智能技術開發,以改變理賠行業
PR Newswire ·  05/02 11:00

Industry leader announces slate of technology innovations and updates

行業領導者宣佈了一系列技術創新和更新

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.

田納西州孟菲斯,2024 年 5 月 2 日 /PRNewswire/ — 塞奇威克是一家全球領先的理賠管理、損失調整和技術業務解決方案提供商,在即將到來的RISKWORLD 2024,即RIMS年度會議之前,今天宣佈對其人工智能驅動(AI)技術計劃的幾項新更新。在半個世紀的卓越理賠處理和強大的數據科學計劃基礎上,Sedgwick憑藉其開創性的生成式人工智能技術和索賠管理應用程序,仍然處於行業技術創新的前沿。

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.

最新的增強功能是塞奇威克技術發展之旅中的重要里程碑,並得到了預測建模、機器學習以及現在的生成式人工智能方面的專門研究和開發的支持。這項工作是由該公司龐大的全球數據集和內部專業數據科學和技術團隊推動的。他們的目標是通過預測、解決和自動化索賠生命週期中的步驟來加快索賠流程,從而改善消費者體驗並簡化索賠解決方案。索賠解決時間預計將縮短,早期採用者將迅速從技術進步中受益,塞奇威克消費者和客戶的整體體驗將得到顯著改善。

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 的技術堆棧圍繞幾種 AI 增強型工具構建,這些工具構成了可擴展、可快速部署的平台。Sedgwick 技術的最新增強包括:

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通過一流的索賠工作流程實現了將生成人工智能工具集成到其專有技術計劃中。Sidekick+是業界首款將微軟/OpenAI的ChatGPT技術與塞奇威克成熟的索賠管理工具相集成的應用程序,其新更新利用了API集成,使索賠專業人員自動將醫療文件摘要直接發送到他們的索賠文件中。Sidekick+在最初的試點項目中已經處理了50,000份文檔,其摘要的準確率超過98%。Sidekick與Sedgwick的數字智能套件捆綁在一起,包括預測模型和決策引擎,因此人工智能可以規定最佳的工作流程,從而實現真正的流程轉型。塞奇威克被Foundry首席信息官評爲Sidekick+的2024年首席信息官100強獎得主,Sidekick+是該公司技術團隊開發的首款此類應用程序。Foundry 的 CIO 100 獎旨在表彰企業在 IT 領域的卓越表現和創新。

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 護理指南: 塞奇威克推出了基於人工智能的護理指導應用程序,擴大了其產品範圍,該應用程序旨在識別對綜合管理式醫療的工傷補償計劃的索賠,這些計劃的進展可能受益於早期臨床干預。該專有模型使用現代人工智能、機器學習和自然語言處理來快速審查非結構化數據(例如索賠記錄、信函、醫療賬單和臨床文檔),並收集有意義的、可操作的信息以供審查。通過識別原本可能被忽視的細微模式,AI 護理指南可在流程的早期發現索賠嚴重程度的警告信號,並促進及時轉診到適當的臨床資源。

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: 着眼於持續創新,解決索賠流程中的溝通差距, mySedgwick — Sedgwick以客戶爲中心的自助服務工具和理賠過程虛擬指南已更新,爲美國傷亡和員工缺勤客戶及其員工/客戶提供了簡化的移動優先用戶體驗。如今,將近70%的索賠人使用移動設備查看索賠和提問,高於三年前的30%。人工智能支持的聊天功能可以實時解決許多索賠問題,或者將索賠人引導至指定的審查員進行更復雜的查詢。此更新簡化了索賠體驗,滿足了索賠人在數字領域的需求。

"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."

塞奇威克全球首席數字官利亞·庫珀表示:“我們在整合GenAI、數據科學和50年的經驗、知識和數據方面所做的工作使塞奇威克能夠使索賠模型比以往任何時候都更智能、更以消費者和客戶爲中心、更具針對性地適應情況。”“我們在有意義的保險類別中擁有工具、經驗和大量數據,能夠開發解決方案,這些解決方案與有意義的人類參與和決策相結合,可以以更先進的方式制定索賠解決方案。”

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 擁有 2,000 名專職的 IT 和數據科學同事,繼續提供卓越的技術解決方案,爲許多全球頂級僱主和保險公司提供支持。有關塞奇威克技術產品的更多信息,請參閱 sedgwick.com/解決方案/技術

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.

關於塞奇威克
Sedgwick是索賠管理、損失調整和技術支持業務解決方案的全球領先提供商。該公司提供廣泛的資源,以滿足客戶在意外傷害、財產、海運、福利、品牌保護和其他領域的特定需求。在塞奇威克,關愛至關重要;通過來自80個國家的33,000名同事的奉獻精神和專業知識,公司通過降低和減少風險和損失、促進健康和生產力、保護品牌聲譽以及控制可能影響績效的成本來照顧個人和組織。塞奇威克的大股東是凱雷集團;Stone Point Capital LLC、魁北克儲蓄銀行(CDPQ)、Onex和其他管理投資者是少數股東。欲了解更多信息,請參閱 sedgwick.com

SOURCE Sedgwick Claims Management Services, Inc.

來源 Sedgwick 理賠管理服務公司

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