Customer story
Handling claims for the ASGA Pension Fund
Follow one matter through the way it used to work, and the way it works now.
01 — The company
ASGA Pension Fund
ASGA is an established multi-employer pension fund that provides occupational pension solutions primarily to small and medium-sized businesses across a broad range of industries in Switzerland.
02 — The challenge
USD 562 million costs
That is the amount paid out in invalidity claims every year. ASGA is able to properly handle no more than 7.5% of all claims, resulting in 95% of claims being paid out.
03 — How they worked before
Stacking up claims in expensive software
ASGA used transaction-based software to process claims supported by more than 1,000 pages of documentation. Even with this technology, time constraints prevented most claims from being investigated in sufficient detail. Engaging external counsel was an unsatisfying alternative, as each claim required dozens of hours of work and cost thousands of dollars to review.
The result: USD 562 million in costs every year.
04 — How we handle it
Handling claims AI-native and end-to-end
An invalidity claim arrives
An ASGA insuree files an invalidity claim, and it lands with the fund's team to investigate.
Thousands of pages
Each claim arrives with more than 1,000 pages of medical records, correspondence and documentation.
Into the Omnilex Mind
The Mind splits the file back into its original documents and categorises every one of them.
Analysed in parallel
Many documents are analysed at once and checked against the law and ASGA's policies.
Structured findings
The Mind builds a structured picture — timeline of events, causality of invalidity, coverage of insurance and more — flags contradictions, and escalates to Omnilex lawyers when needed.
Signed off & delivered
A recommendation on how to proceed is written, signed off by an Omnilex expert lawyer, and returned to ASGA through the portal.
05 — The impact
Saving millions each year
The Omnilex Mind investigates each of the claims immediately and works out a recommendation on how to proceed that is first signed off by the Omnilex expert lawyer and then gets back to ASGA. Already today, 2% of the claims that got paid out before are rightfully rejected, resulting in USD 11.24M of saved costs each year.
