Shift Technology Launches Agentic AI Solution to Transform Insurance Claims Processing

Shift Technology, a leading AI platform for insurance, has launched Shift Claims, a new solution powered by agentic artificial intelligence designed to transform claims operations. The platform assesses and prioritizes cases, guides claim handlers, and automates tasks throughout the claims lifecycle, resulting in faster processing, improved accuracy, and reduced claims losses and handling costs while delivering better policyholder experiences.

Traditional claims transformation has been limited by process complexity and the unique nature of each claim, with rules-based approaches struggling to handle real-world variability. This often forces frequent human intervention even for routine tasks, slowing processes and increasing costs. According to Eric Sibony, chief scientist and chief product officer at Shift Technology, previous technology approaches failed to address claim complexity effectively, but agentic AI provides insurers with a powerful transformation tool that increases automation when appropriate while offering guidance and recommendations when human intervention is necessary.

Building on the successful integration of generative AI into its solutions in 2024, Shift's insurance-trained large language models have proven effective at information extraction, document summarization, classification, and liability determination. Agentic AI extends this capability by enabling LLMs to access and utilize tools for autonomous, task-specific actions. Early adopter AXA Switzerland's COO and Head of Customer Operations, Markus Keller, noted that the Shift approach to agentic AI provides confidence that best actions are enabled throughout the claims process, resulting in enhanced efficiency and excellent customer experience.

Designed for AI and human collaboration, Shift Claims integrates seamlessly with existing claims and core systems as an AI layer. Shift's AI agents and generative AI, trained on the insurer's own processes, work alongside claims teams to assess, triage, advise, and automate tasks or entire claims while insurers retain full control. Early adopters report 3% lower claims losses, 30% faster claims handling, a 60% overall automation rate, and greater than 99% accuracy in claims assessment. Learn more about the technology at https://www.shift-technology.com.

The solution transforms four key areas of claim management: assessing claims complexity by reviewing documentation for coverage exclusion, liability, damage, injury, subrogation, and litigation exposure; classifying, prioritizing, and assigning claims based on complexity, urgency, and exposure level; assisting and advising claims handlers with dynamic guidance for document review, decision-making, communication, and negotiation; and automating claims and tasks throughout the claim journey to speed handling and reduce manual work. Sibony emphasized that Shift Claims enables insurers to move beyond traditional approaches and use agentic AI to truly transform the claims process, positioning customers to meet evolving industry demands and lead the future of claims management with greater efficiency and innovation.