Processes

What will AGI do for Manage and administer claims?

AI-deliverabilityhybrid

With no child occupations seeded, this scalar is derived from the industry lens ('Direct Property and Casualty Insurance Carriers') and the process name. Managing and administering claims is predominantly an information workflow (processing documents, verifying coverage, and communication), anchoring it as a hybrid-trending-digital process.

A policyholder or third party submits a First Notice of Loss reporting property damage, liability, or injury.

Trigger
A policyholder or third party submits a First Notice of Loss reporting property damage, liability, or injury.
Outcome
The claim is fully adjudicated, resulting in a final settlement payment or denial, with all related salvage and subrogation activities resolved.

The work itself

Grounded Work Profile

Measured by

  • Claim Cycle TimeprocessProfile
  • Loss Adjustment Expense RatioprocessProfile
  • Claims Leakage RateprocessProfile
  • Subrogation Recovery RateprocessProfile

Key steps

  • Receive First Notice of Loss and assign a claim handlerprocessProfile
  • Verify policy coverage and establish initial financial reservesprocessProfile
  • Investigate the incident and assess property damage or liabilityprocessProfile
  • Evaluate total claim value and negotiate settlement termsprocessProfile
  • Issue settlement payment or formal claim denialprocessProfile
  • Process salvage operations and pursue subrogation recoveryprocessProfile

How AGI delivers it

Four ways AGI delivers for Manage and administer 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 Manage and administer claims connects

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