Claims Management
How a regional insurer cut claims processing cycle times by 60% and improved adjuster capacity by 3× — without adding headcount.
Manual intake was the bottleneck
Claims arrived via email, fax, and web portal in dozens of unstructured formats. Adjusters spent the first 40 minutes of every claim manually reading, transcribing, and routing documents before assessment could begin — creating a 14-day average cycle time and rising customer complaints.
Unstructured multi-channel intake
FNOL submissions arrived in incompatible formats across email, fax, and portal — each requiring manual reading and re-keying before processing could begin.
Manual policy lookups
Adjusters manually cross-referenced every claim against policy records to verify coverage — a time-consuming process prone to errors and omissions.
Inconsistent routing decisions
Claims were assigned to adjusters manually based on availability rather than claim type or complexity, causing skill mismatches and uneven workloads.
Compliance & audit gaps
Inconsistent documentation across claims made audit preparation slow and unreliable, creating regulatory exposure for the compliance team.
Claims Agent deployment
The Document.One AI Claims Agent was deployed alongside the existing claims management platform in 6 weeks. The agent monitors all intake channels, extracts and validates claim data against policy records, scores the loss estimate, and routes each claim to the right adjuster — automatically and in real time.
Multi-channel FNOL intake
Claims from email, web portal, and fax are automatically detected, classified, and de-duplicated the moment they arrive — no manual triage required.
AI extraction & policy verification
Claimant details, incident data, and coverage fields are extracted at 99%+ confidence and immediately matched against policy records to confirm eligibility.
Loss scoring & intelligent routing
Each claim receives an AI-generated loss estimate and complexity score, which drives automatic routing to the most appropriate adjuster team — within seconds.
Audit-ready case file generation
Every action — intake, extraction, verification, routing decision — is logged in a structured, immutable case file that is compliance-ready from day one.
Transform your claims operation
See a live demo with real claims document scenarios from your domain.
Request Demo