Workers' compensation
US. CMS-1500, UB-04, EOB / EOR, FROI / SROI, IME / QME / AME reports…
Global · US · India · UAE/GCC
Insurance
Classify, extract and review claims, policy and medical documents for workers' compensation, health, general and employer liability insurance.
The problem
Where the time goes
- Claim files arrive as mixed bundles of forms, bills, reports and correspondence
- Adjusters and TPA staff re-key the same fields into claim systems
- Medical and policy documents are long, and key facts are buried in them
- Reviewers need to see why a field was read the way it was
Documents
Documents we handle
- CMS-1500
- UB-04
- EOB / EOR
- FROI / SROI
- IME / QME / AME reports
- Health claims
- Pre-authorisations
- Discharge summaries
- Hospital bills
- Motor policies and claims
- Survey reports
- FIRs
- Labour contracts
- End-of-service benefits
Industry packs
Packs available
Each pack ships document types, extraction schemas, validation rules, smart folders and sample questions.
Health insurance
UAE/GCC. Health claims, Member cards, Policies, Pre-authorisations, Eligibility…
General insurance
UAE/GCC. Motor, property, marine, liability and travel policies and claims, Survey reports, Takaful documents…
Labour & employer liability
UAE/GCC. Labour contracts, WPS salary files, End-of-service benefits, Termination letters, Visa and work permits…
Health insurance (India)
India. Health claims, Pre-authorisations, Discharge summaries, Hospital bills, Policies…
General insurance (India)
India. Motor policies and claims, Survey reports, FIRs, MACT petitions, Property, marine and crop policies…
Use cases
What teams automate
Claims intake and triage
Turn incoming claim packets into structured claim records, with uncertain fields routed to a reviewer before anything is released.
See the workflowMotor claim processing
Read motor claim packets, including the FIR, survey report and repair estimate, into one structured record for the claims handler.
See the workflowPre-authorisation and health claim documents
Extract structured data from pre-authorisation requests, hospital bills and claim bundles, with review for uncertain fields.
See the workflowHow it works in practice
Documents arrive by upload, API or connected channel. Droqify classifies each one, matches it to a schema from the relevant pack, and extracts the fields your team needs, such as claimant, policy number, dates, diagnosis codes and amounts. Each field carries a confidence score, and validation rules flag values that look wrong or inconsistent.
Related documents for the same claim can be linked, so an adjuster sees the claim form, medical reports and bills together instead of searching for them.
Where people stay in the loop
Documents that fall below your confidence threshold, fail validation or do not match a known schema are routed to a human review queue. Reviewers correct fields, assign a schema or approve the result. Corrections are recorded, and every action is written to an audit log.
Packs by market
Pack coverage is regional. The workers’ compensation pack is for the US; health, general and labour and employer liability packs are for the UAE; health and general insurance packs are for India. Teams outside these markets can start with the general pack and define their own schemas.
Search and deployment
Processed documents can be searched and queried in chat, with answers tied to the source document. Droqify runs as SaaS, single-tenant in your own Azure subscription, or as a managed service, with per-tenant isolation.
FAQ
Questions we hear
Which insurance document types are covered?
Droqify ships industry packs by market: workers' compensation for the US, health, general and labour and employer liability for the UAE, and health and general insurance for India. The documents each pack covers are listed above. Other document types can be handled by defining your own schema.
Can the platform handle protected health information?
The platform supports HIPAA-regulated workloads under a signed BAA on eligible plans, and includes PHI masking in logs and audit logging. Using Droqify does not by itself satisfy your HIPAA obligations.
Does a person review extracted data?
Yes. Low-confidence or flagged documents go to a human review queue where a reviewer can correct fields, approve or reject before the file moves on.
Can it connect to our claims system?
Results are available through the API and webhooks. Integration with your claims platform is scoped per customer.
See Droqify on your insurance documents
Bring a few sample documents (synthetic or redacted) and we will show the extraction, review and search end to end.