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Leading health insurer Health insurance · Claims operations

Routine claims adjudicated in under 6 minutes.

<6 minper claim, end to end, from 4–6 hrsAchieved

Previously 4 to 6 hours per case. Adjudicators now review only the complex cases.

KPI · Cost and leakage saving
~$3 → ~$1cost per claimAchieved
~$11Mannual impactAnnualised
Before

Every claim used to be read and approved manually. An adjudicator spends 4 to 6 hours on each case, across 50,000 claims a month. It cost about $3 per claim to process, and a total leakage of about $50M across a claim base of about $500M.

With Windflow

Routine claims are now adjudicated in under 6 minutes, end to end across all episodes. Adjudicators review only the complex cases. Cost per claim drops to about $1, leakage is halved, and every decision carries a full audit trail.

Runs on Agent Bench.
Adoption
2,000+
real claims worked daily
100+
adjudicators using it daily
97%
agree with the recommendation
4.1 / 5
average adjudicator rating
Impact

Claims leakage down ~$10M+. Every sub-agent is benchmarked across models on accuracy, cost and latency; the bench re-runs whenever a model, prompt or tariff rule changes.

Next: One of the nation's largest full-service airlines.
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