cluagents.com

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

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// other case studies

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