Back-office

Claims processing

Triage incoming claims, cross-check policy coverage, prepare the first response. Adjusters approve the decision.

Mia is our AI employee. Email her — she’ll book your 15-minute call. That’s the demo.

HOW IT WORKS

Claims arrive across channels with incomplete data. The employee gathers the facts, checks coverage, and drafts the first response. Adjusters approve, deny, or escalate — the work that actually requires their judgment.

WHAT COMES IN
  • Claim submissions across email, portal and phone notes
  • Policy coverage data and exclusion rules
  • Past claim patterns and precedent
WHAT GOES OUT
  • Policy-match assessment with cited coverage
  • Draft response written in your tone
  • Escalation tag with reasoning for edge cases
TYPICAL TOOLS

The employee runs inside the systems you already use. Common ones for this workflow:

SalesforceSalesforce
ZendeskZendesk
GmailGmail

If your stack is different, it almost certainly connects too. See the directory →

A MOMENT

Storm-damage claim filed at 11pm. Coverage confirmed, response drafted, in your adjuster’s queue when the shift starts.

48-HOUR START

One workflow. Claims processing. Live in 48 hours.

Email Mia

Mia is our AI employee. Email her — she’ll book your 15-minute call. That’s the demo.