Workflow

Claims intake automation with AI agents

Claims intake automation works when extraction, coverage validation, triage, and exception routing are tied to policy logic, reviewer workflows, and measurable release criteria.

Workflow scope

  • FNOL intake and document extraction
  • Coverage and completeness checks
  • Severity routing and queue assignment
  • Adjuster-ready case summaries

Production controls

  • High-impact decisions gated to reviewers
  • Audit trail for every extracted field
  • Edge-case and policy exception routing
  • Golden-set testing before release

Target outcomes

  • Faster intake cycle time
  • Cleaner adjuster handoff
  • Lower manual triage burden
  • More consistent exception handling