Insurance Claim Processing with RAG

Jun 14, 2024

Insurance Claim Processing with RAG

Introduction

  • Presenter: Luk Anapoli, Industry Solutions Consultant
  • Topic: Implementation of Retrieval-Augmented Generation (RAG) for insurance claim processing

RAG Overview

  • Definition: RAG is the process of enhancing large language models (LLMs) with contextual information, incorporating proprietary data for better answers.
  • Purpose: Accelerate and improve claim adjustment operations in insurance companies.

Workflow and Architecture

  1. User Prompt: Undergoes vectorization and embedding.
  2. Vector Retrieval: Using MongoDB Atlas Vector Search to get similar vectors.
  3. Document Retrieval: Fetching the most relevant documents from the collection using these vectors.
  4. Combination with LLM: Feeding documents along with the original question to the LLM, resulting in an enriched and informative response.

Example: Car Accidents Due to Adverse Weather

  • Adjuster's Task: Assess damage and determine compensation.
  • User Prompt: Focus on claims related to adverse weather (e.g., heavy rain).
  • Embedding and Retrieval: Vector search retrieves documents containing conceptually similar information (not necessarily an exact match).
  • Enhanced Response: Adjuster gets a summary of weather-related accidents (including rain, hail, and fire) from the LLM.

Business Application and UI Demonstration

  • Image Search Interface: Users can drag and drop images to find similar photos and associated claims quickly.
  • Chat Box: Allows users to type questions or select predefined ones. Example: Asking about average loss amount for weather-related claims.
  • Results Display: Includes relevant documents and claim descriptions, aiding quicker damage estimation.

Advantages of RAG

  • Speed and Accuracy: Faster and more accurate damage assessment.
  • Enhanced Customer Experience: Improved service quality.
  • Intuitive Interaction: Natural language processing reduces the need for special system skills.
  • Leveraging Unstructured Data: Utilizing PDFs, photos, and videos previously buried in data lakes.

Impact on Insurance

  • Beneficiaries: Claim handlers, underwriters, and customer service operators.
  • Data Strategy: A robust data model can serve multiple personas effectively.

Conclusion

  • Summary: RAG in conjunction with MongoDB and LLMs improves claim processing efficiency and customer experience.
  • Call to Action: Reach out to the Industry Solutions team for more information.
  • Thank You: End of the presentation.