Straight-through claims processing with a human on the exceptions.
Straight-throughRoutine claims
1-clickAdjuster override
↓Cycle time
Commercial Insurer
Challenge
Routine claims sat in the same queue as complex ones, so adjusters spent their day on low-value work while genuinely difficult claims waited.
Solution
We built the agent into the claims application itself — visible reasoning, one-click override — so it could validate, price, and settle routine claims while routing anything ambiguous to an adjuster with its full working shown.
Result
Routine claims cleared straight through, cycle time dropped, and adjusters concentrated on the exceptions where their judgement mattered.
“The agent shows its working on every claim. That's what got it past our risk committee.”
More proof