Processes

What will AGI do for Receive appeals and grievances?

A policyholder or claimant submits a formal complaint or appeal contesting a claim decision, coverage denial, or service experience.

Trigger: A policyholder or claimant submits a formal complaint or appeal contesting a claim decision, coverage denial, or service experience.
Outcome: The grievance is formally documented, categorized, acknowledged to the submitter, and routed to the appropriate unit for investigation and resolution.

The work itself

Grounded Work Profile

Receive incoming appeal or grievance submissionprocessProfile
Validate submitter identity and associated claim detailsprocessProfile
Log grievance details into the central tracking systemprocessProfile
Categorize the submission by type, priority, and regulatory timelineprocessProfile
Issue formal acknowledgment of receipt to the submitterprocessProfile
Route the file to the specialized appeals or resolution unitprocessProfile

How AGI delivers it

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

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