First notice of loss intake
Every first notice of loss read, matched to its policy and set up as a claim file with the right adjuster. Anything that raises a coverage question goes to a person.
Email, portal or phone: one queue. An adjuster gets a ready file.
Here’s a typical run, step by step: what automation handles, what the agent does, and the calls that stay with your team.
Step 1 of 5Read the notice
Automation
Pulls the broker’s emails, portal forms and the answering service’s call notes into one intake queue as they arrive.
A notice is a notice whether it came by email, portal or phone. Collecting them in one queue is routine.
The agent
Reads the broker’s note and the six photos: a burst pipe, the office floor under water, loss dated Sep 12.
One broker writes “escape of water”, a caller says “the pipe went”. Both are the same loss.
- Shared inbox
- Claims portal
- Claims system
~67 hours a month back
Where teams differChannels are a choice: broker only, or straight from the insured, even by text.
Step 2 of 5Find the policy
The agent
Matches “Marlow Dental, Bayview office” to BOP 44-1187, though the policy is written to Marlow Dental Group LLC.
Notices use the name people know, not the legal entity on the policy. A lookup by name misses a lot of them.
Automation
Brings the policy period, the form, its endorsements and whether the premium is paid onto the notice.
Once the policy number is known, its dates and form are fields to fetch.
- Policy system
- Claims system
~30 hours a month back
Step 3 of 5Check dates and form
Automation
Compares Sep 12, the date of loss, with a policy that started Sep 14, and marks the notice with a date query.
Sep 12 falls before Sep 14. The dates raise the query, not anyone’s opinion.
The agent
Finds the form’s wording on sudden discharge of water and notes it on the file for the adjuster. It doesn’t decide if it applies.
The form says “sudden and accidental discharge”, not “burst pipe”. Whether it applies is the adjuster’s call.
- Policy system
- Claims system
~20 hours a month back
Where teams differStricter desks flag late-reported notices too, not just losses that fall outside the term.
Step 4 of 5Answer the date query
Your teamIf the dates don’t line up
Checks whether Sep 12 is a slip in the broker’s note or the real date, then clears it or sends the notice for a coverage review.
A loss before the policy began is a coverage question. It belongs to someone who can stand behind the answer.
- Claims system
- Claims system
~6 hours a month back
Step 5 of 5Assign and reply
Automation
Opens CLM-20817 and assigns it to Leah, the property adjuster for that region, by your rules for line, region and size.
Line, region and loss size decide the desk. Those are your rules, written down once.
The agent
Gives the broker the claim number, says Leah has it, and asks the insured to keep damaged equipment and receipts.
The reply has to say who has the claim without reading like a promise that it’s covered.
- Claims system
- Claims system
- Shared inbox
~22 hours a month back
What changes
Notices from email, portal and phone land in one queue. Adjusters open a file with the policy and photos in it. A loss date outside the term goes to a supervisor.
- 4steps automated
- 4steps for the agent
- 1call kept with your team
Pick any step to see what happens there and why it sits in that lane.
What it could be worth
~145 hours a month back
$73,100 a year in time
For a regional carrier logging about 400 new claims a month, at $42 an hour. We work out yours from your own volumes before you sign.
Let’s build your agentOne proven agent, plugged into how you work.
Every team does this job a little differently, so we set these five with the people who do it today. We’ve done this in dozens of businesses, so we know where teams usually differ and ask about those first.
The agent
Same for every client- Follows the same proven steps
- A person on every exception
- Every decision logged
- Tested on your past work first
- Never decides whether a loss is covered
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Your systems
Where the work comes in, and where the result goes.
For this agentNotices from email, phone notes and your portal, claim files into your claims system.
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Your rules
The limits and exceptions it works to.
For this agentYour assignment rules by line, region and size, and what counts as a coverage query.
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Your team
Who signs off, and who covers when they’re away.
For this agentThe claims supervisor for coverage questions, senior adjusters for large losses.
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Your channels
Where your team hears from it.
For this agentAn acknowledgement to the insured or broker by email, Slack or Teams for your desk.
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Your output
What it hands back, in the format you already use.
For this agentA claim file with the notice, policy and photos attached, and an adjuster assigned.
Chasing claim documents and answering certificate requests are their own agents in this catalog. Reserves and coverage decisions stay with your adjusters.
The agent, and everything that keeps it working.
- The agentRunning on your systems, under your rules.
- The review screenWhere the exceptions land for your claims intake team and adjusters.
- Your rulebookYour limits, exceptions and who signs off, in one place, often for the first time.
- A test reportYour past first notices of loss, run through it and checked against the number.
- The runbookHow it works, what to check, and what to do if it stops.
- 30 days of tuningAfter it goes live, through a full month of your real first notices of loss.
Hours from a notice arriving to an adjuster being assigned. We measure it before we start, and again at day 30.
Live in 3 to 6 weeks. About seven hours of your time.
We do the building. Your side: access, three months of first notices and how they were assigned, and a short weekly check-in.
Then 30 days of tuning, with a short check-in each week, about two hours of yours. At day 30 we show you the number and hand everything over.
It keeps running whether or not we stay.
It runs in your accounts
Your cloud, your systems, and an AI account in your name, billed by the provider at their rates.
Changes in the first 30 days are included
A new rule, a changed limit, someone new signing off. That’s what tuning is for.
After that, your call
Your team edits the rulebook, the care plan covers it, or a bigger change is quoted first.
About this agent.
What if the notice comes in by phone?
Does it tell the insured the claim is covered?
Our process isn’t quite like this. Will it still work?
How do we agree the number?
What does it cost to run once it’s live?
Want every new claim with an adjuster the same day?
Tell us how your team handles first notices of loss today. We’ll show you this agent on examples like yours, and whether it fits the fixed price.
- 3 to 6 weeksto live, then 30 days of tuning
- $12,500fixed, per agent
- Yours to keepno license fees