Compares the reported loss to policy terms, endorsements and limits, assesses injury and legal severity, detects discrepancies and routes the claim to the right handling track (fast-track, field, complex, SIU).
Not yet specifiedSemi-autonomousComplexity: High
This agent is in the backlog. Registered interest decides which agents are specified and prototyped next.
What it does
Confirm coverage, deductibles, limits and exclusions for the loss type
Compare claimant statements with policy records and photos