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