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Practice cases
InsuranceIntermediate

Map the Claims Intake Before Automating It

Build an evidence-backed flow, identify the dominant delay and define a controlled future-state test.

22 minutes

Scenario

HarborSure wants AI to extract data from household claims. Customers wait days for a first decision even though intake activity takes minutes.

Your role
Operations analyst leading the current-state review
Method
Value Stream Mapping

Evidence pack

e1

Demand

1,200 standard household claims arrive weekly; Monday volume is twice the daily average.

e2

Intake

File registration takes 6 minutes and waits a median 4 hours.

e3

Extraction

Manual field capture takes 9 minutes and is 94% complete on first pass.

e4

Validation

Cases wait 19 hours; 27% lack one required loss document.

e5

Decision

Standard review takes 8 minutes and waits 26 hours.

e6

Rework

Missing-document requests add a median 2.4 days and are tracked in email.

e7

Proposal

The vendor predicts 80% faster extraction but provides no end-to-end lead-time estimate.

e8

Data

Timestamps exist in three systems and claim identifiers are inconsistent in 7% of records.

Constraints

  • The first test may include only standard household claims from two document types.
  • Low-confidence and missing-document cases require a visible human exception route.
  • Customer documents may be processed only in the approved environment.

Case steps

Work through each prompt using the evidence pack. Answers and rubric weights stay protected in the interactive flow.

1
Structured

Define the customer outcome, demand family, start and end, then arrange e1-e8 into a current-state work and information flow.

2
Open Response

Identify the dominant barriers to flow and explain why extraction speed alone is insufficient.

3
Open Response

Design a future-state normal path and exception path, including the role and boundary of AI extraction.

4
Open Response

Define a bounded implementation test with owner, measures and a scale decision rule.