Claims triage
Classifies, prioritises, and routes claims with policy-aware adjudication.
Agent · Banking & FinancialDeploy in 6 weeks
Insurance Claims Agent
Claims triage, fraud scoring, and policy-aware adjudication.
Triages claims, scores fraud risk, and adjudicates routine cases with reviewer escalation - across P&C, life, and health insurance.
Multi-lineFraud-awareReviewer-gated
−54%Claims cycle time+18%Fraud detection rate
In production
Claims cycle time−54%
Fraud detection rate+18%
Integrations
GuidewireDuck CreekSalesforce FSCOneShieldImageRight
Median deploy: 6 weeks
Capabilities
Everything Insurance Claims Agent ships with - production-grade, day one.
Fraud scoring
Pattern-based fraud detection with audit-ready explanations on every flag.
Document AI
Extracts data from FNOL, medical reports, and repair estimates with citation lineage.
Deploy
From kickoff to production in 6 weeks.
Every solution comes with a calibrated eval suite, runbooks, and integration guides - so your team can take ownership from day one. Self-hosted, hybrid, or fully managed.
- 1Kickoff & calibration
Align on data, integrations, and policy. Calibrate the eval golden set.
- 2Connect & configure
Wire integrations, configure tools, and stand up the runtime in your cloud.
- 3Shadow & ship
Shadow on live traffic, ramp on evals, and ship to production with rollback.
FAQs
Answers your buyers, security teams, and engineers ask.
Does it integrate with our policy admin?
Yes - production integrations with Guidewire, Duck Creek, OneShield, and major core insurance platforms.
Free working session with a forward-deployed engineer
Show us the problem. We'll send back a written plan to fix it.
In 60 minutes with a senior engineer, you walk away with the gaps mapped, the agent worth building first, a risk read on what your team has already shipped, and a reference architecture - at zero cost, no obligation.
- Workflow map
Where the work breaks down today and which gap an agent should close first - calibrated to your business.
- Velocity diagnostic
Where engineering and ops hours actually go - and where forward-deployed delivery takes you next.
- Risk & rescue read
An honest view of what your team has already vibe-coded and what it needs to survive production.
- Architecture sketch
Reference architecture for your runtime, evals, RAG, and integrations - vendor-agnostic.
60-minute working sessionSenior forward-deployed engineerTwo follow-ups + written summaryFree of charge for qualified businesses
Most teams walk away with a fixed-scope plan in a single session.
Book your free assessment
Reserve a 60-minute working session with a senior AI engineer and practice lead.