IrelandFinance and insurance2024 – ongoingGreat-West Lifeco
Irish Life CARA medical claims reasoning assistant
Irish Life's CARA pilot cut decision-to-payment time by over 90%, according to management
Problem
Irish Life wanted to reduce the time required to handle medical claims and pay customers. Complex cases required expert claims examiners.
Approach
Irish Life tested CARA, a generative AI claims reasoning assistant. It handled claims from intake through a recommended outcome, with human oversight and expert examiners involved in complex cases.
Results
Takeaway
The reported reduction covered the interval from initial decision to payment. It did not measure the entire claim lifecycle.
Categories
- Size
- Large enterprise
- Industry
- Finance and insurance
- Business function
- Finance, risk and legal
- Innovation type
- Process innovation
- AI technology
- Generative AI
- Adoption
- Built in-house
- Evidence
- Company's own claim
Sources
Source summaries
Management described early testing of CARA at Irish Life with human oversight. It reported over 90% less time between an initial claim decision and payment.
Irish Life submitted CARA to the Qorus insurance innovation awards. The submission identified generative AI and medical reasoning as its underlying capabilities.
Full details are in the original sources.
