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Processes

What will AGI do for Investigate and evaluate claims?

AI-deliverabilityhybrid

Because there are no child occupations seeded for this composite, the scalar relies entirely on the process name and industry lens. 'Investigate and evaluate claims' within Direct Property and Casualty Insurance Carriers indicates a blend of physical property inspections (assessing damage) and heavy desk-based data analysis and documentation. This aligns precisely with the hybrid-trending-digital prior (~0.6) for insurance claims work.

A claims adjuster receives a newly filed property or casualty claim assignment following the First Notice of Loss.

Trigger
A claims adjuster receives a newly filed property or casualty claim assignment following the First Notice of Loss.
Outcome
The claim is fully investigated with liability determined, damages quantified, and a final evaluation submitted for settlement.

The work itself

Grounded Work Profile

Measured by

  • Investigation Cycle TimeprocessProfile
  • Reserve AccuracyprocessProfile
  • Investigation Cost Per ClaimprocessProfile
  • Liability Reversal RateprocessProfile

Key steps

  • Verify policy coverage and limits for the reported loss eventprocessProfile
  • Interview the policyholder, claimants, and witnesses to obtain statementsprocessProfile
  • Collect supporting documentation including police reports, medical records, and photographsprocessProfile
  • Assess property damage or bodily injury through physical or virtual inspectionsprocessProfile
  • Determine liability and apportion negligence among involved partiesprocessProfile
  • Calculate the financial valuation of the loss and set claim reservesprocessProfile
  • Compile investigation findings into a final evaluation reportprocessProfile

How AGI delivers it

Four ways AGI delivers for Investigate and evaluate claims

  • Services-as-Software

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

    Services.do

  • Autonomous Agents as digital employees

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

    Agents.do

  • Business-as-Code

    Encode how your work runs, once, as software that executes itself.

    Platform.do

Value flow

How Investigate and evaluate claims connects

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Explore Investigate and evaluate claims

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