PLAN TYPE
Worker’s Compensation
GEOGRAPHY
National
97.7%
Documents processed monthly
30%
Productivity improvement
96%
Field-level extraction accuracy
98%
Transactions processed within 48 hours
Issue
A leading workers’ compensation services organization processing a high volume of claims relied on a manual workflow to capture information and prepare it for downstream processing. Before each claim could move forward, employees reviewed documents, extracted relevant details, and validated the data — a sequence that placed repetitive, time-consuming work at the beginning of every processing cycle.
The challenge was to accelerate that process without compromising accuracy. The organization needed to reduce the manual effort surrounding intake and data extraction while maintaining the quality checks required for reliable downstream processing. A more scalable approach would help the organization better manage high volume transactions, improve turnaround times, and maintain consistent data quality.
Action
Sagility implemented their automated document processing solution to streamline the workflow from claims intake through downstream processing. The AI-powered solution captures documents through multiple channels, classifies standardized claim forms, and extracts the information needed to process each claim. Business rules and member and provider data lookups validate and enrich the extracted data, while human-in-the-loop exception handling and quality review help maintain accuracy.
Sagility then integrated the solution with existing downstream workflows, allowing validated information to move through the processing cycle with fewer manual touchpoints. Together, automated extraction, validation, and quality controls created a more consistent, scalable process that reduced repetitive data preparation while supporting high transaction volumes and improving processing accuracy and turnaround performance.
Impact
Sagility’s automated document processing solution transformed a manual claims review process into a scalable operation capable of processing more than 220,000 transactions each month. By connecting data extraction, validation, and quality controls, Sagility reduced repetitive manual work and helped claims move through the processing cycle faster while maintaining accuracy.
Results included:
- 99.77% overall quality
- 90% extraction quality
- 30% productivity improvement
- 96% completed within 24 hours, up from 90%
- 100% completed within 48 hours
These results gave the organization a more reliable way to manage high transaction volumes and deliver an improved client experience. Employees could spend less time capturing and preparing claim data, while exception handling and quality review continued to support accurate downstream processing.
