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INSURANCE
AI agent for claims handling in insurance
Every mishandled claim inflates times, reserves and cost: the agent takes the loss notification, checks coverage, requests the missing documents and follows the file through to settlement.
AI agent for claims handling in insurance
An AI agent for claims handling in insurance integrates with your tools and current flow, with human supervision and traceability. Before automating we define the task, exceptions and success criteria.
We work from Barcelona and Madrid and remotely across Spain, Europe, LATAM and the United States. The agent adapts to your sector and real process, not the other way round.
We hand over the agent, its configurations, repositories and documentation in accounts owned by your company, without lock-in and with the ability to audit or rotate credentials.
Every mishandled claim inflates times, reserves and cost: the agent takes the loss notification, checks coverage, requests the missing documents and follows the file through to settlement.
THE CHALLENGE
claims handling in insurance
In claims handling in insurance, manual work is slow, depends on staff and leaves room for error; automating it without knowing the sector's flow is a risk. The difference is an agent with rules, exceptions and control, built for your operation.
Incomplete or unreadable claims
Claims arrive with missing data, blurry photos or poorly filled fields that stall the opening of the case.
Slow manual classification
Determining coverage, deductible and claim type by hand consumes time and delays the response to the policyholder.
Bottlenecks at peak times
After storms or mass events hundreds of claims pile up and customer service suffers.
APPROACH
claims handling in insurance
An agent with rules, exceptions and milestone control, adapted to your sector.
Data capture and validation
The agent extracts data, photos and statements from the claim and flags incomplete or inconsistent fields.
Claim classification
It types the claim and checks coverage, deductible and exclusions against the customer's policy.
Assignment and tracking
It routes the file to the right adjuster or handler and tracks its status through to closure.
Handler supervision
The professional reviews doubtful cases and the agent logs each decision to audit the process.
DELIVERABLES
claims handling in insurance
An operational, traceable agent under your control.
Validated complete claim
File with extracted data and missing fields detected and requested from the policyholder.
Claim classification
Claim type, coverage and deductible determined under the applicable policy.
Assigned case file
Automatic routing to the handler or adjuster with the case history.
Traceable record
History of decisions and statuses for audit and regulatory compliance.
TRUST
AI applied to real sector processes with supervision
AI agents adapted to your sector's real operations since 2008, with human supervision, traceability and milestone control in Barcelona, Madrid and remote. Code and documentation under your control, without lock-in.
- Adapted to your sector's real operation.
- Human supervision with milestone and exception control.
- A measurable first release before expanding scope.
- Code, configurations and documentation under your control.
FAQ
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