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
0 likes · 1 view · Jan 5, 2026
AI - powered insurance Agent Problem: Prior auth was manual—staff reviewed patient docs to predict approvals, making the process slow and resource-heavy. Sol...
