Case Study · Claimo

From 10 minutes to 10 seconds

How an AI claims workflow processed $50M+ and transformed Claimo's operating economics.

$50M+

claims processed

60x

faster processing

5x

efficiency gain

The Challenge

Manual review was the bottleneck

Claimo handles high-volume claim submissions for consumers seeking banking refunds. Each claim required manual extraction, interpretation, and validation against policy requirements.

Review cycles were slow, expensive, and difficult to scale. A single key processing step took roughly 10 minutes per claim. At volume, this created operational drag that limited throughput and margin.

The Solution

AI-powered extraction and validation

01

Structured extraction

LLM-driven pipeline converts unstructured claim artifacts into validated, structured outputs.

02

Policy-aligned validation

Outputs checked against compliance and policy requirements automatically.

03

Operator fallback

Edge cases routed to human review, keeping quality high without full manual handling.

What Avicenna Shipped

Production-grade workflow components

Extraction pipeline

LLM-driven extraction from unstructured claims documents into usable structured data.

Validation engine

Automated checks against policy and compliance requirements before downstream processing.

Evaluation loops

Prompt tuning and regression testing to maintain reliability as volume scaled.

Operator interfaces

Review tools for exception handling and edge-case oversight without breaking flow.

"The AI solution that Avicenna implemented transformed our claims processing capabilities. Since launching internally, our output has multiplied and we have processed over $50M back to Aussies."

Nathan Mortlock, CEO & Founder, Claimo

Your Workflow

Have a manual process slowing you down?

We can map your workflow, identify where AI fits, and ship a production system—not another pilot.