AI - powered insurance Agent Problem: Prior auth was manual—staff reviewed patient docs to predic...AI - powered insurance Agent Problem: Prior auth was manual—staff reviewed patient docs to predic...
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AI - powered insurance Agent
Problem: Prior auth was manual—staff reviewed patient docs to predict approvals, making the process slow and resource-heavy.
Solution: Built a HIPAA-compliant AI auth system: extract clinical data (OCR + clinical NLP), form a structured EHR-like record, evaluate insurer rules, and generate approval suggestions; added voice input workflows via STT/TTS plus secure storage and audit logging.
Metrics: Reduced turnaround time and improved SLA adherence (similar projects reached ~98%). Result: Automated major parts of auth decisioning while staying compliant and auditable.
Skills: AI Speech-to-Text AI Agent Development AI Builder AI Audio Generation AI Security
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The network for creativity
Join 1.25M professional creatives like you
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Creatives on Contra have earned over $150M and we are just getting started