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Processes

What will AGI do for Investigate claims?

AI-deliverabilityhybrid

With no child occupations seeded, the digital scalar is derived from the process name 'Investigate claims' and its industry anchor 'Direct Property and Casualty Insurance Carriers'. Claims investigation in P&C insurance is a classic hybrid workflow, blending physical field inspections of damaged property or vehicles with heavy desk-based information processing, such as reviewing policies, reports, and digital evidence.

A property or casualty claim is formally filed and assigned to an adjuster for review.

Trigger
A property or casualty claim is formally filed and assigned to an adjuster for review.
Outcome
The claim is fully evaluated with liability determined, damages quantified, and a coverage decision documented.

The work itself

Grounded Work Profile

Measured by

  • Investigation Cycle TimeprocessProfile
  • Claim Leakage RateprocessProfile
  • Cost Per InvestigationprocessProfile
  • Time To First ContactprocessProfile

Key steps

  • Review the initial loss report and verify active policy coverageprocessProfile
  • Contact the insured party and relevant third parties for statementsprocessProfile
  • Gather supporting evidence including police reports and medical recordsprocessProfile
  • Inspect physical property damage or coordinate with field appraisersprocessProfile
  • Determine liability and calculate the total estimated lossprocessProfile
  • Document the findings to recommend claim settlement or denialprocessProfile

How AGI delivers it

Four ways AGI delivers for Investigate 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 claims connects

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