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    Insurance Data Extraction: An In-Depth Guide

    December 10th, 2024

    Insurance providers operate in a data-intensive sector and must work with a variety of data from different sources every day. This data guides insurers in processes such as claims management, underwriting, policy management, risk assessment, and compliance. Optimizing insurance data extraction ensures the availability of high-quality data to keep these processes running smoothly. 

    Here is a closer look at insurance data extraction, its challenges, and the solution that gives insurance companies a competitive advantage.

    What is Insurance Data Extraction? 

    Insurance data extraction is a multi-step process that collects incoming documents, retrieves information from them, and converts it into a suitable format to support analysis and decision-making in the insurance sector. 

    Data extraction can be either manual or automatic. Manual data extraction used to be the norm, but it is cumbersome, time-intensive, and error-prone. It’s also an impractical choice for the data-heavy insurance sector, which is why organizations resort to automated data extraction methods.  

    Today, contemporary solutions such as AI-powered data extraction and intelligent document processing (IDP) have surpassed early automation platforms. These solutions are faster and leverage AI to increase accuracy and provide contextual extraction.

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    Insurance Data Sources 

    Insurance companies rely on diverse data sources to assess risks, determine premiums, and streamline claim processing. Understanding these data sources is essential to appreciate the complexity and critical role of data extraction in the insurance sector. 

    1. Personal Information 

    When customers apply for insurance coverage for the first time, they submit significant personal information as part of their applications. It covers the following: 

    • Contact Details: Names, residential addresses, phone numbers, email, and other contact information. Insurers can also ask for documentation—such as birth certificates, social security cards, passports, and driver’s licenses—to verify applicants’ identity and prevent fraud. 
    • Financial Information: An applicant’s credit history, employment information, income details, and bank statements help establish their financial position and ability to pay insurance premiums. 
    • Medical Records: This comprises an applicant’s medical history, any diagnostic information, treatments, medication details, and results from pre-insurance health screenings and lab tests.

      2. Policy and Claims Data 

    • Policy Documents: Policy documents are written contracts that detail the terms and conditions of the insurance policy. These documents establish the inclusions, exclusions, claim submission procedures, and the policyholder’s responsibilities and rights. 
    • Claims Records: Longtime policyholders have claims records in their data. These records contain information on past claims, incident details, and insurance payouts. 

      3. Other Data

    • Correspondence Records: These records contain all communication between the policyholder and the insurance provider—such as emails, messages, letters, chat histories, call center logs, and survey responses. 
    • Payment History: A policyholder’s payment history contains dates, amounts, and payment methods.

    The Challenges of Extracting Insurance Data

    Insurance data extraction challanges.

    1. Variability in Data Types 

    Insurance companies work with large amounts of structured, semi-structured, and unstructured data. Much of this data comes from different types of documents with varying formats and layouts. Large data volumes and diversity in formats make it challenging to extract and process useful information from insurance documents. 

    2. Legacy Systems and Manual Procedures 

    If an insurance company relies on legacy systems or manual procedures, extracting data becomes a tedious and error-prone process. Legacy systems often store data in outdated formats, complicating automated extraction. Additionally, manual data entry or extraction from scanned documents (such as policies and claims) increases the risk of inaccuracies, delays, and compliance breaches.  

    Transitioning to automated extraction tools, such as intelligent document processing (IDP) software, can mitigate these issues by efficiently handling data from diverse formats and systems. 

    3. Ensuring Data Security 

    During data extraction, insurance companies handle sensitive information such as policyholder details, financial records, and claim histories. The process introduces unique security challenges, including the potential exposure of sensitive data during extraction from unencrypted sources or insecure transmission channels.  

    Ensuring the security of extracted data requires encryption for data at-rest and in-transit, secure APIs, and role-based access controls. Automated extraction tools with built-in compliance frameworks (e.g., HIPAA, GDPR) can further safeguard data while maintaining efficiency. 

    4. Scalability and Cost 

    Basic data extraction tools aren’t always able to keep up with an insurance company’s growth. Over time, an insurance business may need to discard its existing extraction tools and methods and look for faster, more efficient alternatives. The challenge insurers face in such scenarios is ensuring scalability and deriving the most value from newer data extraction solutions while adhering to budgetary restrictions.

    A Better Approach to Insurance Data Extraction

    Ready to ensure accurate, secure data extraction? Discover how Astera IDP can help your insurance business stay ahead with intelligent automation and easy integration. Request a demo today to see Astera IDP in action!

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    Why Intelligent Document Processing (IDP) is the Answer 

    Intelligent document processing (IDP) is a modern approach to data extraction and document processing. It combines multiple technologies, delivering a more advanced solution than conventional extraction methods. An IDP solution has the following components: 

    1. Artificial Intelligence (AI) and Machine Learning (ML) 

    AI in an IDP solution helps automate complex data-related tasks, such as extraction, validation, and classification. ML algorithms enable an IDP solution to learn from data and consistently improve with time. This is essential in insurance, where accuracy is critical for claims processing and underwriting. 

    2. Natural Language Processing (NLP) 

    NLP enables IDP to interpret and process the vast amounts of unstructured text found in insurance documents, such as medical records and policyholder correspondence. It allows the system to understand context, categorize documents, and extract relevant data more precisely, thus improving the handling of sensitive information. 

    3. Optical Character Recognition (OCR) 

    OCR is essential for extracting data from scanned documents, such as PDFs or handwritten medical records, which are common in insurance. OCR converts these formats into machine-readable text, enabling insurers to digitize and search through large volumes of documents efficiently 

    4. Robotic Process Automation (RPA) 

    RPA further enhances IDP by automating routine tasks, such as data entry from claims or payments into the system. RPA reduces the need for manual intervention, speeding up processes like claim approval or billing reconciliation, and allowing staff to focus on more complex tasks. 

    Key Benefits of Using IDP for Extracting Insurance Data

    The benefits of using IDP for insurance data extraction.

    IDP offers a solution to many of the issues associated with data extraction in insurance. Here’s how: 

    • Automated Data Capture from Insurance Documents: Thanks to AI, IDP solutions are adaptable and can easily handle all kinds of documents and data. This flexibility makes it easier for insurance companies to work with unstructured data. 
    • Accurate Data Extraction from Insurance Forms: An IDP solution leverages ML algorithms, analyzing historical data and corrections to minimize errors with each data extraction cycle. This effectively allows IDP tools to get more accurate with time. Built-in validation and data quality checks ensure that the extracted data is junk-free and ready for use. 
    • Streamlined Claims Data Extraction and Processing: IDP tools are more efficient than conventional solutions. NLP integration allows these tools to quickly extract relevant information for users, streamlining access to valuable data. Learn more about NLP for information extraction.
    • Quick Integration with Insurance Systems: IDP tools integrate easily with other business systems, which eliminates data silos and ensures undisrupted data flow across different departments in an insurance company. 
    • Protecting Sensitive Insurance Data: IDP solutions integrate broad security measures to keep insurance data safe. In addition to features such as encryption and access controls, these solutions support audit trails and automated verification and validation processes. This helps insurers keep policyholders’ data safe while staying compliant with industry regulations.

    Insurance Data Extraction with Astera IDP 

    As an all-in-one data management platform, Astera makes data processes easier with a suite of powerful AI capabilities called Astera Intelligence. Astera’s IDP solution automatically adapts to a range of formats and layouts, enabling insurance companies to create automated workflows for fast and accurate data extraction. Astera supports natural language queries—you can ‘talk’ to your data and receive in-depth insights. No reporting tools required! 

    Find out how Astera is transforming data extraction in the insurance industry. Speak to our team today! 

     

    Authors:

    • Hamza Younus
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