Claims management.
Insurance ops · 30-day pilot
The first notice of loss is where claims operations lose the most time: loss notices arrive in every format from every channel, and handlers spend hours hunting for loss dates, causes, and coverage details before the claim even moves. Every hour of that delay inflates cost and frustrates a claimant on the worst day of their relationship with you. The agent clears the intake so adjusters start at the decision.
What the agent does
- Ingests loss notices across email, forms, portals, and attachments, including photos and scanned documents.
- Extracts and structures the fields that matter: insured, policy, date and cause of loss, estimated value, coverage indicators.
- Checks the claim against policy terms and flags coverage gaps, missing documents, and fraud signals.
- Settles first-pass claims that fall clearly inside policy terms, and routes ambiguous ones to an adjuster with the evidence pack already built.
- Records every decision, human and agent, in a full audit trail.
What the supervisor sees
A claim card with the extracted facts next to the source documents, every flag annotated with the policy clause or rule behind it, and a one-click approve, deny, or investigate flow. Adjusters keep their judgment on exactly the claims where leakage hides.
What you avoid
- Cycle times driven by intake lag instead of claim complexity.
- Routing decisions that depend on individual judgment instead of shared rules.
- Loss adjustment expense growing faster than claim volume.