This session takes you inside a claims transformation at one of the largest insurers in the world. Facing rising volumes, manual review bottlenecks, and pressure to pay faster without leaking cost, the insurer rebuilt its health claims decisioning on a modern automation platform — shifting from rigid, IT-dependent rules to business-owned logic that adjudicates claims in real time. We'll cover the use cases that drove the fastest impact (straight-through processing, fraud and leakage controls, triage routing), what it took to move from pilot to production, and the measurable gains in decision speed, accuracy, and adjuster capacity. Attendees leave with a practical blueprint for scaling claims automation in a regulated, enterprise environment.