Claims File Summary Agent
Summarises long claims files and medical records into a chronology with page references for the handler.
The challenge
Finding the right answer means reading through large volumes of documents. It takes skilled people hours and is easy to get wrong under time pressure.
How it works
- 1A question or a document arrives.
- 2The agent searches your data, limited to what the person is allowed to see.
- 3It writes up what it found, with a link to the source for every point.
- 4It checks each point against its source and removes anything it cannot support.
- 5Your expert reviews the result and makes the final call.
Your people stay in control
Every point links to its source so your expert can check it. The expert, not the agent, makes the final call.
Systems we work with in Insurance
- Policy administration
- Claims management
- Rating engines
- Broker portals and bordereaux
- Third-party data such as weather, vehicle and property
How we measure success
- Time saved per question
- How often the sources are right, checked against your experts
- How much your experts change the result
Kind of work
Research and review. The agent reads large volumes of documents and answers questions, showing the source for every point.
More in Insurance
Claims Cost Recovery AgentFinds closed claims where another party was at fault and pursues their insurer for the cost.New Claim Intake AgentTakes a new claim in one conversation, gathers the evidence and sends it to the right handler.Commercial Underwriting Submission AgentReads applications for business insurance, extracts the details, checks them against what you will insure and prepares the file for the underwriter.Policy Explanation AgentExplains to customers in plain language what their policy covers, quoting the relevant section.
Want this working in your organisation?
We can show it working on real examples from your business before you commit to a full build.