Auto Insurance

Supporting insurers and underwriting teams with intelligent Claim risk assessment with AI derive claim risk Assessment

Case Study

Turning Manual Claims Assessment into Automated Risk Intelligence

Automating insurance risk assessment to help underwriters process claims faster while providing structured and explainable risk insights.

Industry: Insurance
Focus: Claims & Risk Assessment

The Challenge

An insurance company wanted to improve how underwriters assessed claims and insurance risk. The existing process relied heavily on manually reviewing and interpreting data across drivers, vehicles, policies, claims, and compliance.

The challenge was not a lack of data. It was turning fragmented insurance data into a structured and explainable risk assessment without requiring underwriters to manually piece together information for every claim.

Our Approach

Riskey developed an automated insurance risk assessment solution designed to process and analyze key claims-related data and generate a structured view of risk.

Instead of requiring underwriters to manually evaluate information across multiple risk dimensions, the solution brought the relevant data together into a unified assessment framework.

The objective was simple: automate the analysis, surface the relevant risk factors, and give underwriters structured insights to support faster claim processing.

The Solution

The solution automated risk assessment across several dimensions:

Driver Risk Assessment
Evaluates risk factors associated with the driver.
Vehicle Risk Assessment
Assesses vehicle-related risk factors.
Total Risk Assessment
Consolidates key risk indicators into an overall risk view.
Risk Profile
Provides a structured representation of the identified risk characteristics.
Insurance Analytics
Identifies patterns and insights across insurance and claims data.
Risk-Based Recommendations
Provides a foundation for recommendations based on risk conditions and evolving insurance guidelines.
Automated Claims Risk Assessment
01

Claims Data

Bring relevant claims and insurance data into the assessment.

02

Driver Risk

Evaluate risk factors associated with the driver.

03

Vehicle Risk

Assess vehicle-related risk factors.

04

Risk Analysis

Analyze the relevant risk dimensions together.

05

Structured Risk Profile

Generate a structured and explainable view of risk.

06

Underwriter Insights

Surface relevant risk factors to support claims processing.

Automated Risk Assessment
Relevant insurance data is brought together into a structured risk view to support underwriters during the claims workflow.
57%
Faster Claims Processing for Underwriters
The automated risk assessment solution supported a faster claims processing workflow by bringing relevant insurance data and risk factors into a structured assessment.

Building for the Future

Insurance risk is not static. Guidelines, risk parameters, data sources, and claims conditions can change over time. Riskey therefore designed the solution as an extensible risk assessment framework, creating a foundation for dynamic risk scoring, evolving recommendations, and additional insurance use cases as the client's requirements develop.

From manual claims assessment to automated risk intelligence.