Stop losing money to slow claims handling, reserve leakage, and SLA breaches. Deploy a dedicated AI claims team that processes and manages claims around the clock.
12 specialized agents working together to run your claims operation — FNOL intake, triage, coverage opinions, adjusting, reserves, fraud detection, and regulatory compliance.
Coordinates the entire claims team, enforces SLAs, holds reserve authority, and acts as the litigation gatekeeper.
Captures first notice of loss from any channel — phone, web, email — and opens every claim accurately.
Scores every claim for severity, complexity, and fraud risk so the right adjuster gets it fast.
Produces binding coverage opinions from policy language before any money moves.
Owns the claim from assignment through settlement — investigations, estimates, and negotiations.
Books accurate reserves on every claim and reviews them daily to prevent leakage.
Runs fraud detection and special investigation unit referrals on suspicious claims.
Enforces SLA and regulatory standards, prepares for examinations, and keeps the operation audit-ready.
Prepares litigation strategy and coordinates counsel when a claim heads to court.
Hunts recovery opportunities and owns subrogation recovery targets.
Models catastrophe events and makes CAT event judgment calls with exposure analytics.
Supports pricing, reserving, and portfolio analytics with actuarial insight.
If you're still running on manual processes, you're falling behind.
Claims that sit unassigned lose money daily. Our Intake Specialist captures and routes every FNOL instantly, 24/7.
Inaccurate reserves quietly drain profitability. Our Reserve Setter books every reserve and reviews them daily.
Fraudulent claims inflate loss ratios. Our Fraud Analyst scores every claim for SIU-level red flags before payout.
Missed deadlines cost fines and trust. Our Compliance Officer enforces SLAs and keeps you examination-ready.
Beyond the agents, each deployment ships the coordination layer that makes the team reliable — the same infrastructure every AutomatedAgents team runs on.
A coordinator ticks across the team every few minutes — validating every agent reported in, checking shared API budgets, and collapsing raw outputs into layered summaries your Boss actually reads.
Every agent ships with a job card declaring its permission surface, and a certification gate verifies tools match the card before go-live — stripped terminals, no surprise capabilities.
Message your Ops Manager or Boss from any phone. Daily briefings, alerts, and approvals arrive as text via Twilio — no app to install.
broker.py gives every agent a defined autonomy level. Trivial work runs automatically; irreversible actions route through your approval. You set the tier.
Track the metrics that matter. Our agents are optimized to improve these numbers from day one.
Start with a few agents or deploy the full team. Scale as you grow.
A complete 9-agent insurance claims team. The same brains as Industry — fewer specialists.
The full insurance claims team — all 12 agents with Guidewire, ISO, and regulatory compliance workflows baked in.
For businesses with multiple locations and complex needs.
Book a free discovery call. We'll map your claims workflows and show you exactly what your AI team would look like.