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CASE STUDY

Intelligent Automation and Secure Legal Claims Processing: Transforming Occupational Risk Insurance in Argentina

Driving Efficiency, Compliance, and Risk Reduction with Advanced AWS Architecture

The Customer

The customer is a leading provider of occupational risk insurance in Argentina, offering coverage to more than 2 million workers and managing a portfolio of over 100,000 companies in both the public and private sectors. With a workforce of over 1,000 employees and approximately 28% market share, it operates nationwide with a robust medical network, multiple service channels, and a strong focus on prevention and safety audits.

The Challenge

The insurance industry faces unique security and governance challenges, driven by the need to protect sensitive customer data, comply with stringent regulatory requirements, and ensure the integrity of operations. Insurers must establish robust frameworks for access control, identity management, and data protection to minimize risks and maintain trust. Additionally, the sector demands comprehensive auditing and traceability to guarantee compliance and respond effectively to evolving threats and legal mandates.

As a national organization, this customer needed to modernize and automate the analysis of legal documentation, including claims and rulings from 4 major provinces in Argentina, while maintaining high standards of security, access control, and identity management.

The manual process generated operational risks, lack of standardization, and lengthy processing times that hindered traceability. A solution was required that combined secure processing, intelligent automation, comprehensive auditing, and data protection, aligned with internal policies and regulatory requirements of the insurance sector.

The Solution

Netrix Global responded to this challenge by deploying and scaling an nVX environment for the retailer. The technical team engineered a solution focused on reliability, scalability, and real-time performance monitoring. Through rigorous preparation and ongoing collaboration, the Dev team ensured that every aspect of the platform was optimized for peak traffic. The nVX platform was put to the ultimate test during the retailer’s Black Friday event, with the team staying agile and responsive behind the scenes to maintain stability and performance throughout the surge.

1. Security

  • Isolated and controlled environment. 
  • End-to-end encryption (in transit and at rest) of all legal documents. 
  • Comprehensive audit of every workflow, action, and artifact processed by the agents. 

2. Identity

  • Separation of human and non-human identities, with role-specific permissions. 
  • Managed identities for automated agents and full lifecycle control. 
  • Authentication via renewable tokens for API consumers. 

3. Access

  • Principle of least privilege for ingestion, processing, querying, and reporting. 
  • Differentiated controls for each stage of the process and type of user/service. 
  • Automated review of permissions to maintain continuous compliance. 

The solution integrates extraction, classification, legal analysis, summary generation, and settlement calculation, with full traceability and secure API access. 

The Results

  • Complete automation of the analysis of legal claims and rulings. 
  • 60% reduction in processing time thanks to intelligent agents and standardized workflows. 
  • 40% decrease in operational risk due to security, identity, and access controls. Automatic generation of summaries for each claim and ruling, facilitating review by the legal team. 
  • Accurate legal classification by jurisdiction, case type, and procedural stage. 
  • Traceable and audited settlements step by step. 
  • Secure access to the query database via API, enabling integration with internal systems. 

By leveraging intelligent automation and secure architecture, this customer has transformed their legal claim processing and risk management, achieving measurable improvements in efficiency and compliance. 

If you’re facing similar challenges or are interested in modernizing your legal document workflows, contact us today to discover how we can help you achieve secure, automated, and compliant solutions tailored to your needs. 

Experience The Impact Of Continuous Improvement

No matter what challenge you’re facing today, our team of technical experts can get you started on a path to a better solution, whether you’re modernizing finance operations or rethinking resource allocation through incremental improvements. We’ll partner with you to:

  • Understand your current technology environment.
  • Interview key stakeholders and external consultants to understand the root of the business issue(s), identify bottlenecks in workflows, and prioritize cost reduction opportunities.
  • Propose a solution with projected timelines, budget, and dependencies, ensuring even inefficient processes can be replaced with a structured approach via standardized processes that drive measurable business success, rolled out in manageable phases.
  • Deliver tangible results by tackling the redesign process head-on.