Owner
Claims manager, adjuster, operations lead, or team supervisor responsible for speed, fairness, and auditability.
Back-office
Claims processing
Claims slow down when evidence, policy checks, and customer updates are scattered.
Mia prepares the file and flags what needs a human decision.
FIRST FIXTriage claims before they pile upSee pricing
Send the claim queue and policy context.
Mia maps the first triage and draft-response loop.
TYPICAL TOOLS
The employee runs inside the systems you already use.
The point is less manual work, not another app to manage.
If your stack is different, it almost certainly connects too. See the directory →
WORKDAY PRESSURE
Start where someone is already getting chased.
Insurance claims teams, TPAs, and service operations handling coverage checks and first responses.
Workday sentence
Do we have coverage, facts, and a first response ready for the adjuster?
Where it gets stuck
Claims arrive incomplete across channels, and adjusters waste judgment time collecting facts before they can decide.
What cannot go wrong
A wrong coverage call, delayed response, or weak reasoning trail becomes a complaint, leakage, or regulatory issue.
What stays human
They protect fair decisions, adjuster judgment, and documented reasoning.
They do not want AI approving or denying claims.
First useful version
An adjuster-ready claim brief with cited coverage, missing facts, first-response draft, and escalation reasoning.
WORK + APPROVAL
What changes when this work gets handled.
Mia is useful only if this work gets cheaper, faster, cleaner, or easier to trust.
She handles prep, drafts, chases, and handoffs.
Your team keeps the decision.
Work to clear
What your team gets back
Policy-match assessment with cited coverage
Impact
Why it matters
Less review time, fewer missed items, cleaner files, and less expensive admin around work that still needs expert approval.
Current cost
What it costs now
Claim submissions across email, portal and phone notes
Human approval
Where people stay in charge
Adjuster approves, redirects, or escalates.
Edge cases go to the senior queue with context attached.
WHY THIS RESULT MATTERS
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.
CURRENT COST
- Claim submissions across email, portal and phone notes
- Policy coverage data and exclusion rules
- Past claim patterns and precedent
RESULT DELIVERED
- Policy-match assessment with cited coverage
- Draft response written in your tone
- Escalation tag with reasoning for edge cases
PROOF MOMENT
“Storm-damage claim filed at 11pm. Coverage confirmed, response drafted, in your adjuster’s queue when the shift starts.”
MORE IN BACK-OFFICE
Other results on the same track.
BACK-OFFICESee the resultBACK-OFFICESee the resultBACK-OFFICESee the resultBACK-OFFICESee the resultBACK-OFFICESee the resultBACK-OFFICESee the resultBACK-OFFICESee the resultBACK-OFFICESee the result
Contract review
Read incoming contracts, flag deviations against precedent, summarize the delta.
Counsel reviews the diff, not the document.
Mortgage broker AI assistant
An AI assistant for Australian mortgage brokers that handles document collection, borrower chases, file prep, and loan-processing admin inside your broker software.
Accounting close prep
Get the books BAS-ready by chasing missing client documents, clearing bank-rec exceptions, and preparing the close pack for review.
Legal matter intake
Get one matter moving by collecting facts, chasing missing documents, preparing conflict-check context, and drafting client updates.
Insurance renewal prep
Get one renewal file unstuck by triaging the inbox, chasing missing documents, summarizing policy changes, and preparing the broker review queue.
Onboarding
Every new hire, customer, or account gets the same complete welcome — forms filled, signatures chased, access provisioned.
Approvals
Route every approval request to the right person with the context attached.
Chase what stalls past your SLA.
Ticket triage
Categorize incoming tickets, draft replies for the common ones, escalate the edge cases.
The frontline stops drowning.
Work scorecard
Before you hire for it, send us the stuck work.
Mia checks the cost, risk, approval line, and whether an AI employee can clear the first version.
If this is cheaper or safer with a person, the scorecard says that.
WORK + APPROVAL SCORECARD
A short check for cost, speed, quality, risk, and the first safe version.
Work
What keeps piling up?
Replies, reports, checks, handoffs, document chases, approvals, or follow-up that keeps coming back.
Cost
What does it cost now?
Staff time, manager attention, customer wait time, rework, missed follow-ups, or lost revenue.
Quality
What would make it useful?
Better drafts, faster turnaround, fewer errors, cleaner handoffs, and less chasing from managers.
Control
What still needs human approval?
Customer promises, pricing, refunds, legal language, financial decisions, or anything that can damage trust.
Output: work to clear, current cost, approval line, pricing shape, and the smallest useful test.
HIRE YOUR FIRST
One stuck task. Claims processing. First proof in 48 hours.
Triage claims before they pile up
Send the claim queue and policy context.
Mia maps the first triage and draft-response loop.