Overview

SBS Claims is an innovative insur-tech company modernising insurance claims processing. The organisation aims to accelerate claims handling while maintaining accuracy and compliance standards. Processing thousands of claims monthly across multiple insurance lines, SBS Claims represented an ideal candidate for AI-driven transformation.

Challenges

SBS Claims encountered several operational obstacles: manual processing bottlenecks limited daily capacity; initial LLM-based AI experiments failed because explanations weren’t regulatory-ready; the insurance industry demands near-perfect precision that traditional AI couldn’t deliver; and existing AI solutions operated as black boxes, impossible to explain to regulators and customers.

Traditional LLM solutions revealed a critical gap: while capable of processing claims, their low accuracy rate required manual verification of every decision, eliminating efficiency gains.

Solution

UnlikelyAI deployed its neurosymbolic AI platform, specifically designed for regulated industries requiring absolute precision and transparency. The solution combined a neurosymbolic architecture blending machine learning with deterministic logic, a proprietary precision engine delivering 99%+ accuracy on definitive answers, and complete audit trail generation for every decision made. An intelligent triage system identifies claims requiring human review, and the platform integrates seamlessly with SBS Claims’ existing workflow management systems.

Results and impact

The implementation delivered transformative results exceeding initial projections: a 1.7x increase in claims processing capacity, a 100% explanation rate with every claim assessed against every clause, a 99% precision rate on definitive answers (versus 52% for traditional LLMs), and 100% consistency - same claim, same answer, every time.

“We’ve always prioritised excellent customer services and using technology as an enabler for that. UnlikelyAI’s neurosymbolic approach stood out as a game-changer for our operations, with this partnership allowing us to deliver a faster, more reliable service to our customers whilst maintaining our human touch where it matters most. We’re excited to lead the way for this milestone in InsurTech and are proud to be setting new industry standards for intelligent claims processing.” - Bazil Crowley, Director of Innovation at SBS Insurance Services

The bottom line

SBS Claims’ partnership with UnlikelyAI demonstrates that regulated industries need not choose between AI efficiency and compliance requirements. Through neurosymbolic AI technology, SBS Claims achieved a 1.7x increase in processing capacity while maintaining 99% precision and full regulatory compliance - proving that trustworthy AI is transformative.