PegaWorld iNspire 2023: AmRisc's Journey: Automating the Insurance Submission Intake and Clearance Process Using Pega's AI/NLP and OCR Abilities

A big step in our journey automating a completely manual process. We achieved what other vendors said was nearly impossible by introducing Pega automation capabilities to the end-to-end submission clearance process for AmRisc, a Truist Insurance Holdings company and the market leader in underwriting catastrophe and specialty insurance for commercial properties.

The solution consumes emails from submission mailboxes and extracts data from the email and its attachments using AI/ML, NLP, and OCR. It creates cases, and augments data via integrations from internal systems, makes numerous decisions based on business rules, and determines team assignment and clearance status. It streamlines the account creation in our proprietary systems, uploads attachments to repositories, notifies producers of the clearance status, and handles exceptions via smart routing.

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