Most carriers look for a technology fix before they understand the process. We baseline the workflow first, identify exactly where cycle time is lost, then automate the right steps with IBM BAW and watsonx, with governance your risk committee can approve.
75%
Claims cycle reduction, CCG
288
Estimates per user per day
1 yr
National expansion vs. 5-yr plan
IBM BAW creates a full process record at every step: routing decisions, overrides, and exceptions logged with timestamp, user, and reason code. That audit trail is what regulators require and what legal needs if a claim goes to litigation.
IBM watsonx.governance enforces human-in-loop controls at the thresholds you define: claim value, complexity score, fraud signal strength. AI handles intake and routing. Human adjusters handle the decisions regulators require human accountability on.
We define the governance architecture before any model runs. Model card, bias monitoring, explainability logs, and compliance documentation are deliverables of the engagement, not retrofitted before go-live.
2026 Regulatory Pressure
The NAIC model bulletin requires documented governance over every automated claims decision. Carriers that built AI on undocumented workflows can't produce the audit trail regulators now require. That gap doesn't close with a policy update. It requires workflow redesign.
What We Deliver
Delivered engagements. Production environments. Outcomes measured against a baselined process.
AI reads First Notice of Loss submissions from any channel, extracts incident type, severity indicators, fraud signals, and coverage match, then routes the claim before any adjuster opens the file. Simple claims move to straight-through processing. Complex ones arrive at the adjuster with a structured summary already prepared.
AI extracts risk-relevant data points from structured and unstructured submissions, flags missing information, and cross-references external data sources. Underwriters receive a structured risk summary instead of raw documents. Submissions that took hours to review arrive decision-ready.
Renewal eligibility checks, updated risk scoring, documentation collection, and agent notification run in a single orchestrated workflow. Agents receive renewal packages ready to present. Policyholders get faster answers. Operations teams focus on exceptions. The routine volume runs automatically.
Credential verification, licensing checks, contract routing, and system provisioning run through IBM BAW. Providers enter a single intake portal. The workflow handles verification, flags exceptions, and routes approvals. Onboarding that took weeks completes in days.
IBM Technology for Manufacturing
13-year IBM Gold Partner. 2025 IBM AI for Business Award Winner. Every tool below has been deployed in production manufacturing environments.
The orchestration layer for claims intake, triage, payment authorization, policy administration, and provider onboarding. Handles multi-party, multi-system workflows with a full process record at every step. The audit trail regulators require is generated automatically.
Orchestrate coordinates AI agents across claims systems, document repositories, and external data sources. Assistant handles policyholder and agent-facing interactions for FNOL intake, status updates, and coverage questions, operating inside the governed BAW workflow.
Reads event logs from your claims management system to show the process as it actually runs. Idle time between steps, rework loops, and variant analysis by claim type. All visible before any automation decision is made.
Document intelligence for FNOL processing, medical record extraction, denial classification, and underwriting submission review. Models are selected and tuned for your accuracy requirements. Sensitive policyholder data stays in your environment.
Claims eligibility rules, coverage determination logic, fraud scoring thresholds, and payment authorization criteria run as executable business rules. Business and compliance teams control the rules directly. Every decision is documented and retrievable for regulatory review.
Bias monitoring, explainability logging, model drift alerts, and human-in-loop enforcement at the decision gates regulators have specified as requiring human accountability. Produces the compliance documentation package your legal and regulatory affairs teams need.
How We Work
Every engagement starts with the process. Evidence first, technology second.
Define claims cycle time targets, adjuster throughput goals, and compliance requirements before any technology decision is made.
Define claims cycle time targets, adjuster throughput goals, and compliance requirements before any technology decision is made.
Define claims cycle time targets, adjuster throughput goals, and compliance requirements before any technology decision is made.
Define claims cycle time targets, adjuster throughput goals, and compliance requirements before any technology decision is made.
Define claims cycle time targets, adjuster throughput goals, and compliance requirements before any technology decision is made.
Client Testimonial
75%
Faster claims processing
120→30
Day claims cycle
288
Estimates per user / day
25×
Revenue target increase
Sam Ishak · Chief Information Officer, FCT
Proven Results
We measure success by KPI movement and executive validation. The engagement closes when outcomes are proven.
Claims Connection Group (CCG) · Property & Auto Claims Management
75%
Faster claims processing
120→30
Day claims cycle
288
Estimates/user/day
$14K
Daily cost savings
100%
Policyholder satisfaction
"With IBM BAW and watsonx, Salient Process helped CCG gain a competitive edge and reshape IT operations, achieving results that would have seemed impossible just months prior."
Mark Murphy · CEO, Claims Connection Group
Fortune 1000 Insurance Company · Application Modernization
250
Process apps modernized
50%
Cut in development time
Large Long-Term Disability Insurer · Payment Authorization
80%
Cycle time improvement
1,000+
Authorizations per week
How to Engage
4-6 Weeks
2-3 Weeks
Get StartedT
Request a Manufacturing Process Assessment
Two hours. You leave with a mapped workflow, a prioritized roadmap, and a clear picture of where throughput, quality, and supplier risk are concentrated in your current operations.
Resource Download
Manufacturing Operations Playbook
The workflow map, IBM technology guide, quality and supply chain governance framework, and ROI model Salient uses to scope manufacturing automation engagements.
