Check Claims Faster, More Reliably
with an AI Agent

Let your team process, verify, and flag incoming claims faster than ever — with an intelligent agent that reads documents, pulls data, and ensures nothing is missed.

The Challenge

Claims often come in unstructured formats and require cross-checking with contracts, guidelines, and external data. Teams spend lots of time reading, validating, and escalating — while still missing edge cases. Errors lead to risk, delay, and customer frustration.

The Solution: Your Claims Checking Agent

We define the business rules the claims process is based on and provide your Agent with access to all relevant documents and data. Your AI agent then reads, understands, and evaluates claims — preparing everything for an automated approval or a final human decision-maker.

What the Claims Agent can do:

  • Extracts relevant data from claims and supporting documents, like contracts
  • Validates facts against business rules, master data, and guidelines customer-individually, if needed
  • Flags inconsistencies, missing information, or possible fraud patterns

  • Triggers actions or suggests next steps

  • Generates audit logs or status summaries

How it connects:

  • Claims Checking rules can either be configured manually for the Agent or the Agent checks the spcific rules in each individual contract
  • API integration with your ERP, DMS, sharepoint, internal databases, e-mail inboxes and many more
  • Embedded into existing claim workflows or accessible via chatbot

Business Impact

  • Faster Claim Turnaround – Reduce manual review time significantly —usually less than a minute.
  • More Reliable Checks – The Agent assures that each rule and clause are double checked, leading to more reliable checks than manual ones.
  • Fewer Errors & Missed Items – Avoid escalations, rework, and compliance risks.
  • Empowered Staff – Let your experts focus on edge cases — the agent handles the rest.

  • Better Reporting & Audit Trails – Every decision, flag, and action is logged and traceable.

Let’s Automate Your Claim Checks — Safely and Smartly