Processes reopen and supplement requests on closed claims (supplemental repair invoices, late medical bills, L&AH claim reopenings), validates them against the original adjudication and policy terms, and reopens or responds within authority.
Not yet specifiedSemi-autonomousComplexity: Medium
This agent is in the backlog. Registered interest decides which agents are specified and prototyped next.
What it does
Match incoming supplement/reopen request to the closed claim
Validate against original estimate, payments, limits and statute of limitations
Determine whether reopening is warranted and compute additional payment
Reopen in the core system with updated reserves or draft a response