Insurance

Claims intake
automated,
adjusters focused

AI agents that handle document extraction, intake triage, and customer queries—so your adjusters work complex cases, not data entry.

40% Target claims automated
95% Target extraction accuracy
4-6 wks Target to production
claims_agent.py
$ claims_agent.process --claim CLM-2024-9921
# Parsing claim documents...
Extracted: Policy #, Loss date, Description
# Validating coverage...
Coverage verified: Auto comprehensive
# Running triage classification...
Severity: Low | Priority: Standard
Auto-approved: Under $2,500 threshold
Payment initiated: $1,847.00
📄 Document AI
Instant Triage
The Challenge

Claims processing drowns in documents

Carriers handle millions of documents annually. Manual extraction and triage creates bottlenecks that delay settlements and frustrate customers.

Document Overload

Each claim involves 10-50 documents: police reports, medical records, estimates, photos. Manual extraction takes hours per claim.

Settlement Delays

Simple claims wait in queue behind complex ones. Customers expect instant service but get weeks of waiting.

Adjuster Burnout

Experienced adjusters spend 60% of time on admin tasks. High turnover, institutional knowledge loss, inconsistent outcomes.

Fraud Detection Gaps

Manual review can't catch patterns across thousands of claims. Fraudulent claims slip through while legitimate ones get delayed.

Use Cases

AI agents across the claims lifecycle

From first notice of loss to subrogation recovery.

Document Extraction

Extracts structured data from police reports, medical records, repair estimates, and photos—regardless of format.

  • 3x target faster than manual
  • 50+ target document types supported

Subrogation Research

Identifies recovery opportunities, gathers evidence, drafts demand letters, and tracks recovery status across carriers.

  • 25% target more recoveries identified
  • 60% target faster demand processing

Customer Service

Answers policy questions, provides claim status updates, processes simple changes—with escalation to humans for complex issues.

  • 35% target call deflection
  • 24/7 target availability
How It Works

End-to-end claims automation

FNOL Received

Email, portal, phone

AI Extraction

Documents parsed

Coverage Check

Policy validation

Triage

Severity scoring

Resolution

Auto or adjuster

Target Auto-resolved
Target Pre-processed for adjusters
Target Complex claims (full review)
Proof

Target outcomes (scoped PoV)

Team member Team member Team member

Ready to scope a proof of value?

Book a discovery call to map one claims workflow, define one KPI, and outline the controls required for production.

Free 30-minute consultation. No commitment required.