Handled 100% by hand
Intake, policy match, and routing are fully manual. Every claim is read, keyed, and assigned by a person before assessment even begins.
Use cases · Claims
Claims, from first notice to settled.
Agents take first notice of loss through any channel, extract the incident data, match it to the correct policy and vintage, surface coverage and exclusions, triage by complexity, and route to the right adjuster with the case file already built, so handlers decide instead of assemble.
minutes to triageup to 85% lower cost per claim● in production
The problem
Where claims lose time.
The work that has not moved is the manual core of claims: reading first notice of loss, matching coverage across policy vintages, and assessing liability a handler can defend.
Terms across many vintages
Coverage and exclusions differ across policy vintages that coexist in the book, adding burden to every match and raising the risk of leakage.
Slow, inconsistent liability
For cargo and freight, liability assessment and payout calculation are slow and inconsistent, with weak fraud screening behind the decision.
Value stream
The claims journey, end to end.
One flow from first notice to settlement. Agents take first notice of loss through any channel, match it to the right policy and vintage, triage by complexity, assess liability and coverage, and route to the right adjuster with the case file already built. Clean claims settle straight through; the rest route to a handler with the exception already framed. Hover a team to see where its agents sit.
Who it's for
Built for every claims desk.
Claims Operations
The Head of Claims and the Chief Claims Officer own the P&L, and the COO owns delivery.
- FNOL any channel
- Policy & vintage match
- Complexity triage
- Adjuster routing
Fraud & SIU
Investigators need patterns surfaced early, while the claim is still in flight and evidence is fresh.
- Fraud pattern detection
- Alert triage
- Case evidence
- Provenance
Cargo & Freight Claims
The Head of Legal and Claims owns cargo liability and payout, and needs a defensible draft to approve.
- Document ingest (POD, BOL)
- T&C matching
- Liability & payout
- Drafted response
Featured
Featured agents, up close.
Nine claims agents, and what each one gathers, checks, and hands back to the claims desk.
fnol-intake-triaging-agent
Captures First Notice of Loss and routes claim to the right path.
policy-terms-coverage-validator-claims
Checks claim against policy terms, coverages, limits, deductibles.
claims-document-completeness-checker
Ensures all required claim documents and photos are present and valid.
eligibility-threshold-checker-claims
Validates deductibles, sub-limits, and other threshold rules.
fraud-risk-signal-agent-claims
Flags suspicious patterns at FNOL and throughout assessment.
image-document-authenticity-detector
Detects tampering or synthetic images and documents in claims.
damage-evidence-estimate-extractor
Extracts damage details from images and docs; drafts repair cost estimates.
claims-settlement-timeline-validator
Tracks SLA deadlines and validates timely settlements.
suspicious-claim-escalation-agent
Escalates high-risk claims with a complete evidence packet, so investigators open a case that is already built
“…high-risk claim escalated to SIU with the full evidence packet attached.”
Agent stacks
Five stacks on the claims journey.
Pre-composed sets of agents, each scoped to one claims value stream. Deploy the whole stack or pick the agents you need.
Claims Processing
FNOL intake, coverage validation, threshold checks, document completeness, damage estimates, and fraud signals assemble a triaged, pre-populated case file before a handler opens it.
Fraud Detection & Alerting
Consistency checks, image and document authenticity, network association, and behavioral patterns surface high-risk claims and escalate them with a complete evidence packet.
Reinsurance Coordination
Treaty cross-referencing and claim sharing triggers match each claim to the right treaty clauses and recover what is owed from reinsurers.
Property Insurance Pre-Assessment
Loss ratio and claims pattern analysis plus entity resolution link policy, claims, and exposure into a single insured view before assessment begins.
Insurance Regulatory & Compliance
Settlement timeline validation tracks SLA deadlines and confirms timely, audit-ready settlements, so breaches surface before they escalate.
Compose your own.
Start from a stack or pick individual agents, all built to work together on your value stream.
Browse the catalog