Step 03 · Opportunity Studio

Where AI could genuinely help

Three capabilities shaped around document review in claims — each keeping human judgement in the loop.

0Fit

Document Processing AI

Read incoming claim documents and prepare a structured summary before claims handlers review.

Inputs

Customer documentsClaim formsPolicy data

AI capabilities

  • Extract key fields
  • Identify missing data
  • Summarise the case
  • Flag anomalies
Human approval required before any claim decision.
AI confidence55%
0Fit

Claims Communication Assistant

Draft personalised customer updates at each stage of the claim.

Inputs

Claim statusCustomer profileProcess milestones

AI capabilities

  • Draft updates
  • Summarise progress
  • Suggest next actions
Nothing is sent externally without human approval.
AI confidence51%
0Fit

Process Monitoring Agent

Detect queues and delays before service levels are breached.

Inputs

Case timestampsQueue volumesSLA thresholds

AI capabilities

  • Detect bottlenecks
  • Highlight risk cases
  • Recommend rebalancing
Recommendations only — allocation stays with the team.
AI confidence50%

Each opportunity is a design proposal, not an automated decision. The Business Analyst selects, refines and validates what moves into the future operating model.

Process IntelligenceFuture State Simulator