Your AI Claims Intake & Triage Teammate receives first notice of loss across every channel, classifies severity in real time, routes claims to the right adjuster, and populates claim files — automatically. No manual data entry. No delays. No dropped claims.
From the moment a claim is reported to the second it reaches the right adjuster, your AI teammate handles every step with speed and precision.
Receives first notice of loss from phone, email, web portal, mobile app, and agent submissions — consolidating every claim into a single, structured record automatically.
Analyzes claim details, loss descriptions, and supporting documents to classify severity instantly — flagging high-priority and catastrophe claims for immediate attention.
Routes each claim to the optimal adjuster based on expertise, workload, jurisdiction, and line of business — eliminating bottlenecks and ensuring balanced distribution.
Extracts data from submitted documents, emails, and forms to populate claim files with policy details, coverage information, and loss data — zero manual entry required.
Cross-references incoming claims against existing records and known fraud patterns, flagging duplicates and suspicious submissions before they enter the pipeline.
Sends instant acknowledgments, provides claim reference numbers, and delivers status updates to policyholders — keeping everyone informed without adjuster intervention.
Designed for the executives and operations leaders responsible for claims performance, cost management, and customer experience.
VP of Claims, Claims Directors, and Heads of Claims Operations who need to reduce cycle times, improve accuracy, and handle surge volume without adding headcount.
C-suite executives accountable for operational efficiency, cost per claim, and BPO spend — looking for measurable ROI without multi-year transformation programs.
Leaders managing centralized claims operations across multiple lines of business who need consistent, scalable intake processes that don't break under volume.
AI Claims Intake & Triage directly displaces costly, error-prone manual processes — without disrupting your existing workflows.
Every AI Claims Intake deployment is benchmarked against the metrics that matter most to insurance operations leaders.
First-contact resolution time drops from hours to minutes with automated intake, classification, and routing.
Eliminate manual data entry labor, reduce BPO dependency, and cut overhead on every claim processed.
Accurate severity classification and fraud detection minimize overpayments, missed subrogation, and reserve miscalculations.
Over 90% of incoming claims are classified and routed without human intervention — freeing adjusters for complex cases.
Handle catastrophe-level claim surges without hiring temporary staff — AI scales elastically to meet demand.
Automated extraction from documents, emails, and forms ensures near-perfect data fidelity from first touch.
Your AI teammate integrates with the policy admin, claims management, and document systems you already use — no rip-and-replace required.
Native integration with Guidewire ClaimCenter for claim creation, status updates, and adjuster assignment workflows.
Bi-directional sync with Duck Creek for policy verification, claim file population, and automated workflow triggers.
Monitors shared inboxes, web portals, and mobile submissions — extracting claim data from unstructured communications automatically.
Integrates with OnBase, ImageRight, and other ECM platforms for automated document classification and indexing.
Connects to Majesco, custom policy admin systems, and legacy platforms via secure APIs and RPA bridges.
RESTful APIs and configurable webhooks for any system not covered by out-of-the-box connectors — fully extensible.
A structured, phased deployment that delivers measurable results from the first sprint. No multi-year transformation required.
Every decision is auditable. Every action is governed. Built from the ground up for regulated insurance environments.
Every high-severity claim and edge case routes to a human reviewer. AI handles the volume — adjusters retain decision authority.
Full decision audit trails, role-based access control, and compliance logging designed for DOI examinations.
Data residency controls, AES-256 encryption at rest and in transit, and configurable retention policies for every jurisdiction.
Connects to Guidewire, Duck Creek, Majesco, and custom policy admin systems via secure APIs and RPA bridges.
See measurable results — reduced cycle times, lower cost per claim, and higher accuracy — within your first month. No multi-year commitment. No rip-and-replace. Just results.