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Use Case 04 · Banking, Finance & Insurance

Legacy RFP / Claims Transformation

Route the hard documents to the expensive models. Route everything else to the cheap ones.

Chief Information Officer (CIO) Data Leaders Procurement Heads
Illustration: Legacy RFP / Claims Transformation

Customer need & pain point

The problem this replaces.

  • Insurance carriers spend hundreds of thousands of dollars and months of manual labor ingesting complex, unstructured claims documents, policy forms, and RFP technical specifications.
  • Legacy core software systems cannot parse the formats the business actually runs on.

Step-by-step execution

How the engine executes it.

01

Mycelium Parsing

Module 1

Ingests multi-format unstructured claims data, PDF medical reports, handwritten policy documents, and legacy database records.

02

Multi-LLM Routing

Module 2 & 3

Dynamically routes complex medical text to high-reasoning models while sending simple policy verification to fast, low-cost models to minimize API token spend.

03

Agentic Triage

Module 4

Validates policy coverage, checks for fraud anomalies, and pre-populates claim settlement recommendations directly into legacy core systems.

Quantifiable ROI & impact

What changes commercially.

  • 70% reduction in manual claims processing time, from 5 days down to 4 hours.
  • Up to 52% reduction in monthly LLM compute spend through dynamic routing.
  • 99.4% accuracy in unstructured document extraction and field mapping.

The “aha” moment

“We were burning tens of thousands of dollars sending every single document through high-cost LLMs. Traffelo AI's dynamic routing routes simple extractions to lightweight edge models and reserves expensive models only for complex edge cases. It cut our monthly AI compute bill in half.”
Chief Data Officer / CIO — Core insurance carrier