Health Insurance · Aug 2024 – Jan 2026 in production
Health Insurance Customer Service Automated with AI Agents: 85% Lower Cost per Interaction
How a Major Health Insurance Provider Cut Costs by 85% with AI Agent Orchestration
299,290 real interactions. 18 months in production. Not a pilot.
Deployed in production · measured, not modeled
85.3%
Cost Reduction
37×
Faster Resolution
~6×
ROI Year 1
299K
Interactions
// the agent · Martina
Autonomous AI agent deployed to handle customer inquiries end-to-end — coordinating CRM, ERP, and internal databases without human intervention.
// key results
- USD 1.16 → USD 0.17 cost per interaction
- 20 minutes → 32 seconds median resolution
- USD 296,299 accumulated savings in 18 months
- 8.9% negative sentiment — operationally acceptable
// CLU modules used
- Agents
- Connectors
- Skills
Download the full case study (PDF) ▶
Method, data and month-by-month numbers.
Client identity anonymized at their request.
// CLU · the agent factory
Want this for your operation?
Describe it in your own words on the home page. CLU draws your process as an operation map, with the agents, the systems and an estimate for your volume.
// other case studies
- Identity Verification Help Desk Automated by an AI Agent: 87% of Volume in 37 Days6,775 real cases. 37 days in production. Not a pilot.
- SAP ECC and SAP BW AS-IS Discovery Automated over RFC: 4 Weeks Instead of 8 Months26 objects end-to-end in 72 minutes. Not a pilot.