AI Specialist for Insurance and Claims Processing

Course overview

AI specialists for insurance and claims processing utilize AI tools in the document- and communication-intensive processes of the insurance industry - from application review to claims settlement. The training provides practical application cases for case management, customer communication, and process control. Process Landscape of Insurance Work The industry thrives on documents, deadlines, and clear communication. - Processes in applications, contract management, benefit assessment, and claims - Involved roles from case management to brokers and service providers - Overview of regulatory framework and documentation obligations AI in Claims Processing - Capture, summarize, and complete claims reports - Review documents, expert opinions, and invoices with AI support - Extract coverage-relevant information from documents in a structured manner - Prepare and review response and interim decisions Support for Application and Contract Processes - Pre-check applications for completeness and anomalies - Make contract documents and terms quickly searchable - Create standard correspondence for changes and inquiries Customer Communication with Care Especially in the case of claims, understandable and empathetic communication is crucial. - Formulate understandable explanations of complex issues - Appropriately manage tone in stressful situations - Ensure multilingual communication with verification steps Law, Control, and Responsibility - Data protection for health, contract, and claims data - Four-eyes principle: AI prepares, case management decides - Document traceability of AI-supported work steps - Limits of use in discretionary and hardship decisions Key Figures and Control of Processing The benefits of AI use are measured against processing reality. - Monitor processing times, inquiry rates, and first resolution rates - Organize quality samples for AI-supported processes - Feed insights back into templates, rules, and training - Knowledge preservation: secure proven formulations and verification paths as templates - Shorten the onboarding of new case managers with AI-supported work aids - Prepare anomaly patterns in claims reports for fraud prevention - Reduce backlogs: prioritize based on deadlines, severity, and customer impact Participants learn to effectively use AI tools in insurance processes, shorten processing times, and comply with verification and documentation obligations.

Upcoming dates

• 2026-10-20T22:00:00.000Z · 2026-12-22T23:00:00.000Z · Virtuelles Klassenzimmer
• 2026-10-20T22:00:00.000Z · 2026-12-22T23:00:00.000Z · Frankfurt am Main · Hybrid Learning
• 2026-11-03T23:00:00.000Z · 2027-07-03T22:00:00.000Z · Virtuelles Klassenzimmer
• 2026-11-03T23:00:00.000Z · 2027-07-03T22:00:00.000Z · Frankfurt am Main · Hybrid Learning
• 2026-11-17T23:00:00.000Z · 2027-01-19T23:00:00.000Z · Virtuelles Klassenzimmer