Case studyInsurance11 min read

ClaimSetu: turning a motor insurance claim from a two-week phone saga into a guided, photo-first journey

A general insurer's motor claims ran on phone calls, emailed photos and surveyors juggling spreadsheets. We built ClaimSetu: a policyholder app for first notice of loss, a surveyor app for inspections, a garage portal and a claims desk with AI damage triage and fraud signals — 26 features that cut the back-and-forth out of every claim.

26
Features shipped
4
Apps & platforms
9
Team members
22
Weeks to rollout
ClaimSetu claim filing app and claims desk dashboard
ClaimSetu: file a claim from the roadside, track it to settlement.
01

It started with a complaint log

ClaimSetu's head of claims sent us something unusual before our first meeting: an export of six months of customer complaints. More than half were about motor claims, and almost none were about the settlement amount. They were about not knowing what was happening — "I sent the photos twice", "the surveyor never called", "the garage says they are waiting for you".

Behind every complaint was the same pattern. A claim started with a phone call, then moved through email, WhatsApp, a surveyor's personal phone and a garage's paper job card. Each hand-off lost information, and every missing piece meant another call to the policyholder.

“We pay most claims fairly. We just make people chase us for it.”

— ClaimSetu's head of claims
02

Mapping one claim across four parties

In discovery we followed live claims with the claims team's permission: a minor bumper dent, a windscreen replacement and a larger collision. We sat with a surveyor on inspections and spent a morning in a partner garage. Four parties touched every claim — the policyholder, the claims handler, the surveyor and the garage — and none of them could see what the others had done.

The design principle that came out of this was simple: one claim, one timeline, visible to everyone with a role in it. Each party would see the parts relevant to them, and every action would appear on the shared timeline automatically.

Where claims stalled
  • Unusable photos: too close, too dark or the wrong panel
  • Surveyor scheduling done over personal phone calls
  • Garage estimates emailed as scanned paper
  • Policyholders unable to see status without calling
Two technicians collaborating on equipment in a workshop
A morning in a partner garage: where claims actually get stuck.
03

Designing a photo-first claim

The most important screen in ClaimSetu is the camera. Most delays started with poor photos, so we built a guided capture flow: an outline of the car shows which angle to take next, the app checks each photo for blur, distance and lighting before accepting it, and it records the time and location automatically.

For minor damage, those photos go straight to an AI damage triage model that identifies the affected panels and suggests whether a physical survey is needed at all. Clear, low-value claims can be assessed on photos alone; anything larger or ambiguous goes to a surveyor with the photos already attached.

04

The team

ClaimSetu needed mobile, computer vision and enterprise workflow skills in equal measure, so the team was built around three small pods that shared one backlog and one weekly demo with the claims leadership.

1
Engagement lead

Claims and compliance workshops, pilot planning and rollout.

1
Product designer

Guided camera flow, claim timeline and the claims desk.

2
Mobile engineers

Policyholder and surveyor apps with offline capture.

1
Frontend engineer

Claims desk and garage portal.

2
Backend engineers

Claim workflow, policy system integration and notifications.

1
ML engineer

Damage triage model, photo quality checks and fraud signals.

1
QA engineer

Device testing, claim scenarios and model regression checks.

9 people in total, working as one team.

05

Five decisions that defined the product

Insurance mixes customer experience, fraud risk and regulation. These were the decisions we took with the claims and compliance teams before building.

01

Should AI approve claims automatically?

  • Auto-approve low-value claims
  • AI recommends a route, humans decide

Our call: AI recommends a route, humans decide. Settlement decisions carry regulatory and customer consequences. The model routes claims and highlights damage; a handler makes every decision, with the AI's reasoning visible.

02

Where to check photo quality?

  • Server-side after upload
  • On the device before accepting each photo

Our call: On the device before accepting each photo. Rejecting a blurry photo at the roadside, while the car is still there, avoids a callback days later. On-device checks also save upload data on weak networks.

03

Build a garage app or a web portal?

  • Native garage app
  • Lightweight web portal usable on any device

Our call: Lightweight web portal usable on any device. Garages work across many insurers and will not install one app per insurer. A web portal opened from a WhatsApp link removed that barrier entirely.

04

How explainable should fraud signals be?

  • A single risk score
  • Individual signals with reasons

Our call: Individual signals with reasons. A bare score invites either blind trust or blanket distrust. Showing each signal and its reason lets handlers judge context and keeps decisions defensible.

05

Integrate with the policy admin system or copy data?

  • Nightly data copy
  • Live API integration for policy and cover checks

Our call: Live API integration for policy and cover checks. Cover must be checked against the current policy at the moment a claim is filed. Live integration avoided claims being accepted against lapsed or changed policies.

06

Everything ClaimSetu does

Twenty-six features across four products, all sharing one claim record and one timeline.

Policyholder app
File from the roadside, track to settlement.
  • 01Instant claim filing

    Start a claim in minutes with policy details pre-filled.

  • 02Guided damage camera

    Angle-by-angle guidance with blur and distance checks.

  • 03Live claim tracker

    Every stage, owner and next step, in plain language.

  • 04Garage selection

    Choose a network garage by distance and rating.

  • 05Document upload

    Licence, registration and FIR captured with OCR.

  • 06Settlement and payout status

    Approved amount, deductions and payment confirmation.

Surveyor app
Inspections without the paperwork.
  • 07Inspection scheduling

    Assigned surveys with routes and customer contact.

  • 08Structured survey report

    Panel-by-panel assessment with photos.

  • 09Offline inspections

    Capture everything without signal; sync later.

  • 10Estimate comparison

    Garage estimate side by side with parts price lists.

Garage portal
No app to install.
  • 11Estimate submission

    Itemised estimates with parts and labour.

  • 12Approval notifications

    Approvals and queries delivered by WhatsApp link.

  • 13Repair progress updates

    Photo updates as repairs progress.

  • 14Invoice and payment tracking

    Final invoice upload and payment status.

AI and fraud
Faster routing, fewer surprises.
  • 15Damage triage

    Detect affected panels and recommend photo or physical survey.

  • 16Photo quality scoring

    Reject unusable photos before they cause delays.

  • 17Fraud signals

    Location, metadata and repeat-vehicle checks with reasons.

  • 18Repair cost range

    Expected cost band from historical claims for comparison.

Claims desk
Every claim, one timeline.
  • 19Claims queue with SLAs

    Prioritised work queues with turnaround timers.

  • 20Shared claim timeline

    Every action by every party, in order.

  • 21Policy and cover checks

    Live validation against the policy admin system.

  • 22Approval hierarchy

    Limits-based approvals with audit trail.

  • 23Customer communication

    Templated SMS, email and WhatsApp updates.

  • 24Claims analytics

    Turnaround, routes, costs and garage performance.

  • 25Audit and compliance log

    Complete record for internal audit and regulators.

  • 26Role-based access

    Separate permissions for handlers, surveyors and garages.

ClaimSetu claims desk with shared claim timeline
The claims desk: one timeline shared by policyholder, surveyor and garage.
07

Building and proving the AI

We trained and evaluated the damage triage model on historical claim photos provided by ClaimSetu, labelled with the panels and repair decisions surveyors had actually made. The model never approves a claim on its own; it recommends a route — photo assessment or physical survey — and handlers can always override it.

The fraud signals were deliberately simple and explainable: photos taken far from the reported location, the same vehicle appearing in multiple recent claims, image metadata that did not match the claim date. Each signal shows its reason so a handler can judge it.

  1. Weeks 1–3
    Discovery

    Complaint analysis, live claims followed, surveyor and garage visits.

  2. Weeks 4–6
    Design

    Guided camera and shared timeline prototyped and tested with policyholders.

  3. Weeks 7–15
    Build

    Four products and the triage model built in parallel pods.

  4. Weeks 16–18
    Pilot

    Minor motor claims in two cities.

  5. Weeks 19–22
    National rollout

    All motor claims, garage network onboarded.

08

Launch and what changed

ClaimSetu launched first for minor motor claims in two cities, then expanded to all motor claims nationally. The claims team's favourite change was not the AI — it was that policyholders stopped calling to ask for status, because they could see it.

Garages adopted the portal faster than expected once they realised approved estimates came back the same day instead of waiting for an email chain.

09

What we learned

Better inputs beat smarter models. The guided camera did more to speed up claims than any model improvement, because it removed the most common reason for going back to the customer.

Shared visibility changes behaviour. When the garage, surveyor and handler all see the same timeline, delays become visible — and visible delays get fixed.

Built with
  • React Native
  • Next.js
  • Node.js / NestJS
  • PostgreSQL
  • Computer vision damage model
  • Document OCR
  • AWS Mumbai
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