What was done
RBC Insurance built CLARA, a generative-AI claims assistant that gives its claims specialists indicators and recommendations while they process claims. Specialists, many with healthcare backgrounds, keep the decision; the tool is meant to speed up claims and surface signs of fraud. RBC says it was built incrementally under its risk-governance framework and Responsible AI principles.
Outcome
RBC Insurance's chief digital, data and strategy officer told Wealth Professional in January 2026 that CLARA captured over $2 million in savings related to fraudulent claims in its first year, while still a pilot. No other figures were published.
Evidence: News (trade press, executive interview). Figures are as reported by the source and have not been independently audited by AgentsNorth.
Prompt Reconstructed by AgentsNorth
The source didn't publish its prompt. This is our reconstruction of a starting prompt for a similar workflow, not the company's actual prompt.
You are a claims review assistant for a Canadian insurer. For this claim file, summarize the claim, list the documents provided and any that are missing, and flag indicators that warrant a closer look (inconsistent dates, duplicate providers, unusual billing patterns, mismatches with policy terms). For each flag, cite the document and line. Do not recommend denial; a claims specialist decides.