We built the AI claims features into the insurer's existing mobile app over 12 weeks. Phase 1 (weeks 1-4): AI damage assessment model. We trained a damage assessment model on 120,000 historical claims photos (motor and home): motor vehicle damage (trained on photos categorised by damage severity and repair type — scratch, dent, panel damage, structural damage, glass damage, total loss indicators), home property damage (water damage, storm damage, fire damage, impact damage, theft/break-in — each with severity classification), and damage location mapping (identifying which part of the vehicle or property is damaged — front bumper, driver door, roof, kitchen, bathroom — enabling automated routing to the appropriate assessor). The model runs as a hybrid: initial classification on-device using CoreML/TensorFlow Lite (instant feedback — "We can see damage to the front bumper. Can you take a photo from a different angle?
"), with detailed assessment on the server (using the higher-resolution images for severity assessment and repair cost estimation). Phase 2 (weeks 3-8): claims lodgement flow. The AI claims flow: (1) Incident capture — customer taps "Lodge a Claim" and selects claim type (motor/home). For motor: the app uses GPS and time to pre-populate incident date, time, and location. (2) Damage photography — guided camera experience: the app shows the customer exactly what photos to take (for motor: front, rear, left, right, damage close-up, dashboard showing odometer; for home: wide room shot, damage close-up, source of damage if visible). AI provides real-time feedback: "Good photo — damage clearly visible" or "Please retake — photo is too blurry to assess." (3) AI damage assessment — on-device model provides immediate classification: "Front bumper damage — moderate severity. This appears repairable rather than replaceable.
" The customer sees that the AI has understood their claim — building confidence in the process. (4) Supporting information — the app collects: other party details (for motor — with OCR from the other driver's licence), police report number (if applicable), witness details, and a voice or text description of what happened. (5) Document AI — the customer photographs relevant documents (repair quotes, receipts, policy schedule) with AI extraction of key data (repairer name, quote amount, invoice details). (6) Claim submission — the complete claim (photos, AI assessment, supporting information, extracted documents) is submitted to the claims management system with an AI-generated claim summary. Phase 3 (weeks 6-10): automated triage and assignment.
AI claim triage: the submitted claim is automatically classified by: severity (minor — likely under excess, moderate — standard claims process, severe — priority handling required, potential total loss — specialist assessment), complexity (straightforward — AI assessment sufficient for initial processing, moderate — requires desktop assessor review, complex — requires field assessor or specialist), and fraud risk (low, medium, high — based on claim characteristics, customer history, and fraud pattern detection). Automated assignment: straightforward, low-fraud-risk claims are assigned to the next available desktop assessor with the AI assessment pre-populated. Complex claims are routed to specialist teams. High-fraud-risk claims are flagged for the Special Investigations Unit. The assessor receives: the complete photo set, the AI damage assessment with severity and repair type classification, extracted document data, the customer's description, and a recommended next step (approve for repair, request additional information, arrange inspection). Phase 4 (weeks 8-12): integration, testing, and launch.
Integration with the insurer's Guidewire ClaimCenter: claims created directly from the mobile submission with all data mapped to ClaimCenter fields. Testing: 2,000 claims processed through the AI flow in parallel with the existing manual process — comparing AI damage assessment accuracy against assessor decisions.