Insurance _ Claims Automation

Claims Automation Centre. From 20 minutes to 2.

Docmana helps insurers transform claim processing through a proven four-phase automation journey, all while keeping your experts firmly in the loop.

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Hero claim automation
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The journey

4 phases, 1 destination

A structured path from assisted intelligence to automation, built for regulated insurance environments.

1

Phase 1: Learn

Docmana observes. Humans decide. AI analyses claim docu- ments and generates structured recommendations, while your ex- perts validate every outcome. This is where we establish the baseline, build confidence and prove the model before anything is automated.
2

Phase 2: Refine

Getting sharper, side by side. Docmana runs alongside your team, simulating decisions with- out acting on them. Every differ- ence is tracked and override is a lesson. The result? The rules get smarter, the gaps get smaller.
3

Phase 3: Activate

Automation, activated. This is where confidence is established and performance is proven. Docmana automates for clearly defined, low-risk segments, un- der strict guardrails. Productivity scales while expert control stays intact.
4

Phase 4: Scale

Your experts zoom out, Docmana zooms in. Automation expands to stable segments, with your team overseeing performance rather than individual claims. Sustain- able, measurable, fully governed AI-driven operations, executed at scale.

The foundation

The 3 pillars of sustainable claims automation

True claims automation isn't just about applying AI to documents. It takes a structured foundation. One that captures expertise, executes reasoning and keeps your team in control.

Foundation 1

1 Knowledge
management

Automation starts with human expertise. Docmana captures your explicit knowledge like policies, coverage rules and validation criteria, as well as the judgment your best people have built over years. Together, they become structured, operational intelligence.
Foundation 2

2 Reasoning
engine

Docmana doesn't just read claim files, it reasons across them. Documents, images and audio are processed within decision flows configured to reflect your internal rules, delivering consistent, explainable and repeatable outcomes at scale.
Foundation 3

3 Expert
supervision

Your experts don’t disappear. They level up. Docmana embeds human oversight directly into the automation lifecycle with validation gates, exception escalation and feedback loops that continuously sharpen decision quality.
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The result

Real operations, real numbers

2

Claim processing time 2 min

95

Claims adjudication accuracy rate 95%

9

Million documents processed in 2025

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The price structure

You only pay for
what you automate

Docmana pricing is structured around per-claim processing, aligned to wherever you are in your automation journey.

Pay per phase

Pricing scales with your automation maturity, from assisted analysis to full autonomy.

Volume discounts

The more claims you process, the lower the unit cost. Growth should pay for itself.

No hidden fees

Per-claim pricing, with implementation and onboarding included. No surprises.

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Ready to elevate your operations?

From weeks of manual effort to minutes of intelligent automation. Let's show you what that looks like for your business.

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