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Insurance

Core insurance systems, claims and fraud detection in production.

We help insurers modernise core insurance systems, automate claims processing, detect fraud and build data platforms. With a strong focus on audit, regulation and reliability.

Claims Automation

Claims processing automation with rules + ML. Transparent scoring, audit trail and fallback to manual handling.

claimsmlautomation

Core insurance systems

Policy admin, billing, contract management. Zero-downtime modernisation, gradual migration.

policy-adminbillingmigration

Fraud Detection

Anomaly detection, graph analysis, scoring. Real-time and batch evaluation.

fraudanomalyscoring

Data Platform & Reporting

Solvency II, IFRS 17. Data pipelines for regulatory reporting and risk management.

datasolvencyreporting
Claims Automation

Claims Automation

Automation of the insurance claims process — from notification to payout — using rules, ML scoring and human-in-the-loop.

Příklad z praxe: The system automatically processes 80% of minor claims (photo AI + rules); complex cases are escalated to a claims handler with a pre-prepared summary.
80%
Claims automation
95%+
Fraud detection rate
99.95%
Availability
-60%
Claims processing time
100%
Compliance

Why CORE for insurance

Insurers combine transactional systems with a document-centric world and complex rules. Data quality and decision traceability are critical — especially for automation and AI.

We build systems that meet regulatory requirements (Solvency II, DORA) while enabling modernisation without the risk of downtime.

Časté otázky

A combination of a rules engine and ML scoring. Minor claims are processed automatically (photo AI, rules), complex cases are escalated to a claims handler with a pre-prepared summary.

Yes. Anomaly detection, graph relationship analysis, behavioural scoring. Real-time and batch evaluation with transparent score explanations.

Data pipelines with lineage and quality checks. Automated regulatory reports, audit trail from source to output.

Yes. Gradual migration (strangler pattern) — parallel running of old and new systems, zero-downtime cutover, data reconciliation.

ICT risk management, incident reporting, digital resilience testing. Gap analysis of the current state and implementation of missing controls.

AI models for risk assessment, pricing optimisation and client segmentation. With governance, audit trail and human-in-the-loop for key decisions.

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