Claims moving. Policyholders answered.
First notices, certificates, missing documents and renewals, worked to your authority limits. Coverage calls stay with your adjusters.
Watch a first notice of loss set up. Anything outside the policy dates goes to your claims supervisor.
It reads the notice wherever it arrives, finds the policy, and checks it was in force on the date of loss and that the loss type is on the policy form. Clean notices become a claim file with the right adjuster. Anything that raises a coverage question waits for your claims supervisor.
This is how it usually runs. Yours follows your own steps and approvals, set with the people who do the job.
18 agents for claims, policyholders and the file. Intake, triage, renewals and the evidence behind them.
- Business Operations
Submission intake
Reads each broker submission into your system and checks it against your appetite
What’s included - Customer Support
First notice of loss intake
Turns every first notice of loss into a claim file with the right adjuster
What’s included - Customer Support
Certificate of insurance requests
Drafts certificates of insurance from the policy, and holds non-standard wording
What’s included - Business Operations
Claims document chaser
Chases the documents every open claim still needs, and says when a file is complete
What’s included - Business Operations
Request intake
Gets internal requests approved and done
What’s included - Customer Support
Shared inbox triage
Sorts the shared inbox and answers the routine mail
What’s included - Customer Support
Ticket triage and refunds
Resolves what is within your limits
What’s included - Customer Support
Escalation handoff
Hands tickets over with the full story
What’s included - Customer Support
Conversation review
Reviews every call, chat and email
What’s included - Customer Support
Churn risk alerts
Spots quiet accounts before they leave
What’s included - Sales & Marketing
Lead scoring and routing
Re-scores your database as leads engage
What’s included - Sales & Marketing
Commission calculations
Works out commissions from closed deals
What’s included - Finance
Three-way reconciliation
Ties sub-ledger, ledger and bank daily
What’s included - Finance
Collections follow-up
Chases overdue invoices every morning
What’s included - Compliance & Audit
Control evidence
Collects evidence for every control
What’s included - Compliance & Audit
Auditor requests
Answers request lists from the record
What’s included - Compliance & Audit
Filing calendar
Keeps every filing on time, with an owner
What’s included - Compliance & Audit
Access reviews
Runs quarterly access reviews across your systems
What’s included
Every agent here is already built, and each one has a full page. Bring the one you want to a call.
Authority stays with your adjusters.
It never releases a payment
It prepares the file and the amount, and routes it to the adjuster with the authority to approve.
Every dispute has a person
Disputes and complaints go straight to your team, with the full file.
A trail for every decision
Each step logs what it read, what it did and who approved it.
What people ask.
Does it decide claims?
Which systems does it work with?
Our process isn’t quite like this. Will it still work?
Can we start with more than one?
What does it cost to run once it’s live?
Where do claim files wait?
Bring one. We’ll walk you through what an agent would do with it.
- 3 to 6 weeksto live, then 30 days of tuning
- $12,500fixed, per agent
- Yours to keepno license fees