AI Claims Triage Agent
Delegate your initial claims review to a specialized AI agent. It reads FNOL submissions, assesses claim severity and complexity based on your rules, and automatically routes each claim to the appropriate adjuster or team.
Ideal for
Claims Operations
TPAs
Insurance Carriers
See AI Claims Triage Agent in action
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Time comparison
Traditional way
10-15 minutes per claim
With GTCX Network agents
15 seconds
Average time saved
98%
Why GTCX Network
Automated Severity Assessment
Reads FNOL reports and claim forms to understand the context of the loss, automatically categorizing claims as low, medium, or high severity based on your defined criteria.
Complexity-Based Routing
Implements your assignment logic automatically. Route simple, low-value claims to a fast-track team, complex commercial claims to senior adjusters, and everything in between.
Early Fraud Detection
Scans initial claim documents for red flags and common indicators of potential fraud, automatically escalating suspicious claims to your Special Investigation Unit (SIU).
Litigation & Subrogation Flagging
Identifies claims with a high likelihood of litigation (e.g., attorney representation letters) or subrogation potential, ensuring they are routed to the correct specialists from day one.
Optimized Adjuster Workloads
Improves efficiency by ensuring your most experienced adjusters spend their time on the most complex and costly claims, rather than on simple, routine losses.
Reduced Claim Cycle Time
By automating the initial triage and assignment, the agent shaves critical days off the front-end of the claims process, leading to faster service and improved customer satisfaction.
Analyzes initial claim documents
To automatically determine the right workflow.
Get started
Import your files
Guidewire
,
Duck Creek
,
Salesforce Service Cloud
Import your files from whereever they are currently stored
All types of Insurance documents supported
Once imported our system extracts and organises the essentials
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Enterprise-grade security.
Your data stays yours—always. Work with one of the few AI companies that never trains on your data.
