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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See AI Claims Triage Agent in action

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Automated Claims Assignment

See AI Claims Triage Agent in action

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Time comparison

Traditional way

10-15 minutes per claim

With V7 Go agents

15 seconds

Average time saved

98%

Why V7 Go

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.

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.

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).

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.

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.

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.

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.

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Automatically triages incoming claims by severity and fraud risk, then routes them to the right team.

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Insurance Policy Review Agent

Instantly analyzes insurance policies to extract coverages, limits, exclusions, and endorsements.

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Automates claims intake by extracting data from FNOL submissions, forms, and supporting documents.

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Provides instant, cited answers to complex coverage questions by analyzing policies and claim facts.

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  • Time saving for invoice processing

    95%

    "We are looking for V7 Go and AI in general to be the beating heart of our company and our growth. It will make us more productive as a company, liaising with customers, automating tasks, even finding new work."

  • Productivity increase

    35%

    "We used V7 Go to automate our diligence process with data extraction and automated analysis. This led to a 35% productivity increase in just the first month of use."

  • Custom solution delivery

    In hours, not weeks

    "Partnering with V7 means bringing our toughest data challenges to a team that turns them into solutions in hours. Their Solutions Engineers have redefined what’s possible for our business."

Enterprise-grade security.

Your data stays yours—always. Work with one of the few AI companies that never trains on your data.

  • No training on your data

  • Encrypted end-to-end

  • Audited and penetration-tested

  • Fine-grained access controls

  • Inhouse security team

  • Audit logs across every workflow

  • Time saving for invoice processing

    95%

    "We are looking for V7 Go and AI in general to be the beating heart of our company and our growth. It will make us more productive as a company, liaising with customers, automating tasks, even finding new work."

  • Productivity increase

    35%

    "We used V7 Go to automate our diligence process with data extraction and automated analysis. This led to a 35% productivity increase in just the first month of use."

  • Custom solution delivery

    In hours, not weeks

    "Partnering with V7 means bringing our toughest data challenges to a team that turns them into solutions in hours. Their Solutions Engineers have redefined what’s possible for our business."

Enterprise-grade security.

Your data stays yours—always. Work with one of the few AI companies that never trains on your data.

  • No training on your data

  • Encrypted end-to-end

  • Audited and penetration-tested

  • Fine-grained access controls

  • Inhouse security team

  • Audit logs across every workflow

  • Time saving for invoice processing

    95%

    "We are looking for V7 Go and AI in general to be the beating heart of our company and our growth. It will make us more productive as a company, liaising with customers, automating tasks, even finding new work."

  • Productivity increase

    35%

    "We used V7 Go to automate our diligence process with data extraction and automated analysis. This led to a 35% productivity increase in just the first month of use."

  • Custom solution delivery

    In hours, not weeks

    "Partnering with V7 means bringing our toughest data challenges to a team that turns them into solutions in hours. Their Solutions Engineers have redefined what’s possible for our business."

Enterprise-grade security.

Your data stays yours—always. Work with one of the few AI companies that never trains on your data.

  • No training on your data

  • Encrypted end-to-end

  • Audited and penetration-tested

  • Fine-grained access controls

  • Inhouse security team

  • Audit logs across every workflow

Precision AI for Institutional Workflows

Build once.
Deploy across teams.
Improve over time.

Precision AI for Institutional Workflows

Build once.
Deploy across teams.
Improve over time.

Precision AI for Institutional Workflows

Build once.
Deploy across teams.
Improve over time.