Building an AI Claims Adjudication Engine — How We're Rethinking Insurance TPA Workflows

Dev.to AI
Generative AI

Building an AI Claims Adjudication Engine Insurance claims adjudication is one of those industries where technology is decades behind. Most TPAs (Third-Party Administrators) still run on legacy systems built in the COBOL era - manual triage, paper-based workflows, and adjusters drowning in 200+ open claims each. I built ClaimDesk AI to fix this.