We built a Nordic claims NLP platform over 11 weeks. (1) Cross-Nordic Claims Processing Engine: processing claims descriptions in Swedish, Norwegian, and Danish. The engine: detecting language automatically and processing each in its native language model (not translating to Swedish then processing — native processing preserving semantic nuance in each language), extracting structured claims data from narrative descriptions: claim type (mapping narrative descriptions to 85 claim categories — "vattnet sprutade ut från röret under diskbänken" → vattenskada/vattenledningsskada — water damage/pipe damage), cause of loss (rörbrott — pipe burst, inbrott — break-in, trafikolycka — traffic accident — extracted from narrative context), affected property (specific rooms, items, vehicle parts — extracted from description), severity indicators (damage extent, affected area, number of affected items, cost mentions), and timeline (when the damage occurred, when it was discovered — temporal extraction from Swedish, Norwegian, and Danish text).
Processing time: 15 seconds per claim (from 8-12 minutes manual reading and classification). Classification accuracy: 93.8% across all 85 categories (from 81% manual). (2) Severity Intelligence Engine: estimating claim severity from narrative and extracted data. The engine: analysing damage descriptions for severity indicators ("hela golvet förstört" — entire floor destroyed = high severity, "liten repa" — small scratch = low severity), comparing against historical claims with similar descriptions (semantic similarity matching against 3 years of closed claims with known ultimate costs), incorporating property and policy data (home value, vehicle value, policy coverage limits), and producing severity classification (simple/standard/complex) with confidence scores. Severity routing accuracy: 91.2% (from 76% manual). Correctly routing complex claims to experienced handlers improved investigation quality and reduced ultimate claim costs. (3) Fraud Detection NLP Engine: identifying linguistic fraud indicators in claims narratives.
The engine: detecting narrative inconsistencies (contradictions between damage description and timeline, physically implausible damage combinations), identifying coached language patterns (unusually formal or legalistic language in casual claims descriptions — suggesting the claimant received guidance on how to describe the event), comparing narrative similarity across claims (detecting multiple claims with suspiciously similar descriptions — suggesting coordinated fraud), analysing sentiment patterns (genuine claims tend to express frustration, confusion, or distress; fabricated claims tend to be emotionally flat and overly factual), and flagging claims for SIU (Special Investigation Unit) review with specific fraud indicators. Fraud detection: flagged 2.3% of claims for SIU review — of which 68% confirmed fraudulent or exaggerated (vs. previous manual detection rate of 1.1% flagged with 45% confirmation). (4) Cross-Nordic Analytics Engine: providing unified analytics across Swedish, Norwegian, and Danish claims.
The engine: normalising claims data across languages into a unified taxonomy (mapping Swedish "vattenskada" = Norwegian "vannskade" = Danish "vandskade"), generating cross-Nordic comparison reports (claim frequency, severity, and trends across countries), identifying country-specific patterns (claim types more prevalent in specific countries — enabling targeted prevention programs), and producing Finansinspektionen/Finanstilsynet regulatory reports in country-appropriate formats.