AGI.do

Services

What will AGI do for Claims adjustment services?

This subclass comprises determining the amount, if any, to be paid to an insurance policyholder making a claim under the policy.

The work itself

Grounded Work Profile

Tools

  • Claims Management SystemserviceBlueprint
  • Field Inspection AppserviceBlueprint
  • Estimating SoftwareserviceBlueprint
  • Policy Administration SystemserviceBlueprint

Outputs

  • Loss Adjustment ReportserviceBlueprint
  • Damage EstimateserviceBlueprint

Measured by

  • Reserve AccuracyserviceBlueprint
  • Claim Reopen RateserviceBlueprint

Key steps

  • Assign claim to adjusterserviceBlueprint
  • Inspect loss and damageserviceBlueprint
  • Estimate repair or loss valueserviceBlueprint
  • Verify coverage and liabilityserviceBlueprint
  • Determine settlement amountserviceBlueprint

How AGI delivers it

Four ways AGI delivers for Claims adjustment services

  • 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 Claims adjustment services connects

absorbs

  • Insurance Claims Handlingmodel
  • Loss Adjustment Managementmodel

composes

measured by

  • Claim Cycle Timemodel
  • Claim Reopen Ratemodel
  • Customer Satisfaction Scoremodel
  • Reopened Claim Ratemodel
  • Reserve Accuracymodel

optimizes

  • Adjustment Cycle Timemodel
  • Claim Cycle Timemodel
  • Estimate Accuracymodel
  • Loss Adjustment Expensemodel
  • Settlement Accuracymodel

produces

  • Claim Adjustment Reportmodel
  • Coverage Determinationmodel
  • Damage Estimatemodel
  • Loss Adjustment Reportmodel

realizes

  • Assign adjuster to claimmodel
  • Assign claim to adjustermodel
  • Determine settlement amountmodel
  • Document and submit claim reportmodel
  • Estimate repair or loss valuemodel
  • Estimate repair or replacement costmodel
  • Inspect damage on sitemodel
  • Inspect loss and damagemodel
  • Negotiate settlement with claimantmodel
  • Receive first notice of lossmodel
  • Verify coverage against policymodel
  • Verify coverage and liabilitymodel

Go deeper

Explore Claims adjustment services

Read the deeper take on agi.asView as markdown