Occupations

What will AGI do for Claims Adjusters, Examiners, and Investigators?

These professionals determine whether an insurance company must pay a claim and exactly how much is owed. The daily reality involves triaging massive, unstructured data dumps like medical records, police reports, repair estimates, and photographs, then reconciling them against complex, hyper-specific policy documents. The core pain lives in the manual, swivel-chair operations required to extract facts from disorganized PDFs and key them into legacy claims management systems.

The opportunity

What AGI will do for Claims Adjusters, Examiners, and Investigators

  • Autonomous Fraud Investigator

    Autonomous Agents as digital employees

    Solves:

    Agents.do
  • Algorithmic Claim Adjudication

    Headless SaaS for Agents

    Solves:

    SaaS.studio
  • Automated Subrogation Firm

    Services-as-Software

    Solves:

    Services.do
  • Adjuster Liability Guardian

    Autonomous Agents as digital employees

    Solves:

    Agents.do
  • Surge Claims TPA

    Services-as-Software

    Solves:

    Services.do

The friction today

Where the work breaks down

  • Indemnity Overpayment LeakageHigh Margin Hit
  • Undetected Fraudulent PayoutsSevere Financial Risk
  • Escalating Loss Adjustment ExpensesPer-Claim Overhead
  • Missed Subrogation RecoveriesLost Cash Flow
  • Bad Faith Litigation RiskHigh Legal Liability
  • Catastrophe Surge BacklogsEvent-Driven Capacity

Value flow

How Claims Adjusters, Examiners, and Investigators connects

associated interest

  • Artisticstandard
  • Conventionalstandard
  • Enterprisingstandard
  • Investigativestandard
  • Realisticstandard
  • Socialstandard

employs

  • Health insurance carriersmodel
  • Independent claims adjusting firmsmodel
  • Property and casualty insurersmodel
  • Workers compensation boardsmodel

engages in

  • Analyzing Data or Informationstandard
  • Assisting and Caring for Othersstandard
  • Coaching and Developing Othersstandard
  • Communicating with People Outside the Organizationstandard
  • Communicating with Supervisors, Peers, or Subordinatesstandard
  • Controlling Machines and Processesstandard
  • Coordinating the Work and Activities of Othersstandard
  • Developing Objectives and Strategiesstandard
  • Developing and Building Teamsstandard
  • Documenting%2FRecording Informationstandard
  • Drafting, Laying Out, and Specifying Technical Devices, Parts, and Equipmentstandard
  • Establishing and Maintaining Interpersonal Relationshipsstandard
  • Estimating the Quantifiable Characteristics of Products, Events, or Informationstandard
  • Evaluating Information to Determine Compliance with Standardsstandard
  • Getting Informationstandard
  • Guiding, Directing, and Motivating Subordinatesstandard
  • Handling and Moving Objectsstandard
  • Identifying Objects, Actions, and Eventsstandard
  • Inspecting Equipment, Structures, or Materialsstandard
  • Interpreting the Meaning of Information for Othersstandard
  • Judging the Qualities of Objects, Services, or Peoplestandard
  • Making Decisions and Solving Problemsstandard
  • Monitoring Processes, Materials, or Surroundingsstandard
  • Monitoring and Controlling Resourcesstandard
  • Operating Vehicles, Mechanized Devices, or Equipmentstandard
  • Organizing, Planning, and Prioritizing Workstandard
  • Performing Administrative Activitiesstandard
  • Performing General Physical Activitiesstandard
  • Performing for or Working Directly with the Publicstandard
  • Processing Informationstandard
  • Providing Consultation and Advice to Othersstandard
  • Repairing and Maintaining Electronic Equipmentstandard
  • Repairing and Maintaining Mechanical Equipmentstandard
  • Resolving Conflicts and Negotiating with Othersstandard
  • Scheduling Work and Activitiesstandard
  • Selling or Influencing Othersstandard
  • Staffing Organizational Unitsstandard
  • Thinking Creativelystandard
  • Training and Teaching Othersstandard
  • Updating and Using Relevant Knowledgestandard
  • Working with Computersstandard

experiences

  • Conflict Situationsstandard
  • Consequence of Errorstandard
  • Contact With Othersstandard
  • Coordinate or Lead Others in Accomplishing Work Activitiesstandard
  • Deal With External Customers or the Public in Generalstandard
  • Dealing With Unpleasant, Angry, or Discourteous Peoplestandard
  • Dealing with Violent or Physically Aggressive Peoplestandard
  • Degree of Automationstandard
  • Determine Tasks, Priorities and Goalsstandard

How AGI delivers it

Four ways AGI delivers

  • Autonomous Agents as digital employees

    Hire a digital employee that does the job under earned, supervised autonomy.

    Agents.do
  • Services-as-Software

    Get the professional outcome delivered as software, priced on results, not headcount.

    Services.do