AGI.do

Services

What will AGI do for Claim management?

Coordination and management of logistics related claims against suppliers / authorities in an outsourced model.

The work itself

Grounded Work Profile

Tools

  • Claims Management SystemserviceBlueprint
  • Workflow Automation PlatformserviceBlueprint
  • Claims PortalserviceBlueprint
  • Reporting SystemserviceBlueprint

Outputs

  • Claim Status DashboardserviceBlueprint
  • Claims Performance ReportserviceBlueprint

Measured by

  • Claim Closure RateserviceBlueprint
  • Customer Satisfaction ScoreserviceBlueprint

Key steps

  • Receive and register claimserviceBlueprint
  • Triage and route claimserviceBlueprint
  • Track claim statusserviceBlueprint
  • Coordinate adjudicationserviceBlueprint
  • Close and report claimserviceBlueprint

How AGI delivers it

Four ways AGI delivers for Claim management

  • 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

Value flow

How Claim management connects

absorbs

  • Claims Processingmodel
  • End to End Claims Lifecyclemodel
  • Loss Adjustmentmodel

measured by

  • Claim Closure Ratemodel
  • Claims Cycle Timemodel
  • Customer Satisfaction Scoremodel
  • Payment Accuracy Ratemodel

optimizes

  • Claim Cycle Timemodel
  • Claims Cycle Timemodel
  • Loss Adjustment Expensemodel
  • Loss Adjustment Expense Ratiomodel
  • Settlement Accuracymodel

produces

  • Claim Filemodel
  • Claim Status Dashboardmodel
  • Claims Analytics Datasetmodel
  • Claims Performance Reportmodel
  • Loss Adjustment Reportmodel
  • Settlement Payment Recordmodel

realizes

  • Adjudicate and approve settlementmodel
  • Assign and triage claimmodel
  • Close and report claimmodel
  • Close claim and notify partiesmodel
  • Communicate claim status to claimantmodel
  • Coordinate adjudicationmodel
  • Disburse claim paymentmodel
  • Investigate and assess damagesmodel
  • Receive and register claimmodel
  • Receive first notice of lossmodel
  • Track claim statusmodel
  • Triage and route claimmodel
  • Validate coverage and policymodel

Go deeper

Explore Claim management

Read the deeper take on agi.asView as markdown