Strategy and Solutions

Discover our digital transformation stories and the impact driving real change

Close

AI Policy Intelligence Achieves Over 80% Model Accuracy

About the Client

The client is a major health insurer managing large volumes of policy and plan benefit documents in PDF format. Comparing coverage details across these documents was time-consuming and required significant manual effort. Inconsistent document structures also made it difficult for teams to extract, validate, and compare policy information efficiently. To improve policy intelligence and streamline analysis, the insurer partnered with Zymr.

Key Outcomes

Over 80% Model Accuracy Achieved
Structured and Reviewable Policy Intelligence

Business Challenges

The insurer relied heavily on manual review of policy PDFs to compare plan benefits, coverage terms, and other critical information. This process was slow and made it difficult to analyze large document volumes efficiently.

Policy documents varied significantly in structure, terminology, and formatting. This created challenges in extracting consistent information and increased the risk of errors during comparison and analysis.

The absence of an intelligent policy analysis layer also limited the ability of business teams to quickly access structured information from unstructured documents. Manual processing reduced scalability and made policy intelligence difficult to operationalize across teams.

The insurer needed an AI-native solution that could automate document ingestion, extract relevant policy information, and provide accurate, structured, and reviewable intelligence.

Business Impacts / Key Results Achieved

Zymr helped the insurer transform unstructured policy PDFs into structured policy intelligence using an AI-native application and governed data architecture. The solution improved the efficiency, consistency, and scalability of policy analysis.

  • Over 80% Model Accuracy Achieved
  • AI-Powered Policy Information Extraction
  • Structured and Reviewable Policy Intelligence
  • Automated Ingestion of Large Volumes of Policy PDFs

Strategy and Solutions

Zymr engineered an AI-native policy intelligence platform designed to streamline document processing and make policy information easier to extract, analyze, and review.

  • OCR-Powered Document Processing: Converted policy PDFs into machine-readable content for downstream analysis and extraction.
  • NLP and BERT-Based Intelligence: Applied natural language processing and BERT models to understand policy language and identify relevant coverage information.
  • Named Entity Recognition: Extracted important policy entities and attributes to create consistent, structured data from unstructured documents.
  • Kafka-Based Data Ingestion: Enabled scalable and reliable ingestion of high volumes of policy documents through event-driven processing.
  • Governed Data Layers: Established controlled data layers to improve consistency, traceability, and reviewability of extracted policy intelligence.
  • ML Model Optimization: Iteratively refined the machine learning engine to achieve over 80% accuracy across policy intelligence use cases.
  • Reviewable Policy Intelligence: Presented extracted information in a structured format so teams could efficiently validate and use policy insights.
Show More
Request A Copy
Zymr - Case Study

Latest Case Studies

With Zymr you can
Headshot of a man with dark hair wearing a gray blazer and black shirt, promoting Zymr attending the NASSCOM GCC Summit & Awards 2025 in Hyderabad on April 22-23.