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

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