Assign claims in seconds
AI Claims Triage Agent
Route every claim with perfect logic
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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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
Time comparison
Traditional way
10-15 minutes per claim
With V7 Go agents
15 seconds
Average time saved
98%
Why V7 Go
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.
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.
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).
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.
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.
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.
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.
Get started
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
Built for the teams that handle high-stakes work
Built to scale workflows for teams that need speed and accuracy.
For Teams
For Teams
Claims Supervisors & Managers
Claims Supervisors & Managers
Claims Supervisors & Managers
Automate your assignment workflow to improve efficiency and consistency. Ensure your team's workload is balanced and that your most experienced adjusters are focused on the highest-risk claims.
Automate your assignment workflow to improve efficiency and consistency. Ensure your team's workload is balanced and that your most experienced adjusters are focused on the highest-risk claims.
Automate your assignment workflow to improve efficiency and consistency. Ensure your team's workload is balanced and that your most experienced adjusters are focused on the highest-risk claims.
Heads of Claims & Operations
Heads of Claims & Operations
Heads of Claims & Operations
Reduce claim cycle times and improve customer satisfaction by eliminating front-end bottlenecks. Implement a smart, automated triage system that gets claims moving from the moment they arrive.
Reduce claim cycle times and improve customer satisfaction by eliminating front-end bottlenecks. Implement a smart, automated triage system that gets claims moving from the moment they arrive.
Reduce claim cycle times and improve customer satisfaction by eliminating front-end bottlenecks. Implement a smart, automated triage system that gets claims moving from the moment they arrive.
Customer voices
Customer voices
Connect AI to your claims intake process.
Connect AI to your claims intake process.
Ensure the right expert handles every claim from the very first minute.
Ensure the right expert handles every claim from the very first minute.
Finance
•
Legal
•
Insurance
•
Tax
•
Real Estate
Finance
•
Legal
•
Insurance
•
Tax
•
Real Estate
Finance
•
Legal
•
Insurance
•
Tax
•
Real Estate
Customer Voices
Industrial equipment sales
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.
Read the full story
Industrial equipment sales
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.
Read the full story
Insurance
We have six assessors. Before V7 Go, each would process around 15 claims a day, about 90 in total. With V7 Go, we’re expecting that to rise to around 20 claims per assessor, which adds up to an extra 30 claims a day. That’s the equivalent of two additional full-time assessors. Beyond the cost savings, there’s real reputational gains from fewer errors and faster turnaround times.
Read the full story
Insurance
We have six assessors. Before V7 Go, each would process around 15 claims a day, about 90 in total. With V7 Go, we’re expecting that to rise to around 20 claims per assessor, which adds up to an extra 30 claims a day. That’s the equivalent of two additional full-time assessors. Beyond the cost savings, there’s real reputational gains from fewer errors and faster turnaround times.
Read the full story
Real Estate
Prior to V7, people using the software were manually inputting data. Now it’s so much faster because it just reads it for them. On average, it saves our customers 45 minutes to an hour of work, and it’s more accurate.
Read the full story
Real Estate
Prior to V7, people using the software were manually inputting data. Now it’s so much faster because it just reads it for them. On average, it saves our customers 45 minutes to an hour of work, and it’s more accurate.
Read the full story
Industrial equipment sales
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.
Read the full story
Insurance
We have six assessors. Before V7 Go, each would process around 15 claims a day, about 90 in total. With V7 Go, we’re expecting that to rise to around 20 claims per assessor, which adds up to an extra 30 claims a day. That’s the equivalent of two additional full-time assessors. Beyond the cost savings, there’s real reputational gains from fewer errors and faster turnaround times.
Read the full story
Real Estate
Prior to V7, people using the software were manually inputting data. Now it’s so much faster because it just reads it for them. On average, it saves our customers 45 minutes to an hour of work, and it’s more accurate.
Read the full story
Finance
“Whenever I think about hiring, I first try to do it in V7 Go.” Discover how HITICCO uses V7 Go agents to accelerate and enrich their prospect research.
Read the full story
Finance
The experience with V7 has been fantastic. Very customized level of support. You feel like they really care about your outcome and objectives.
Read the full story
Features
Features
Results you can actually trust.
Reliable AI document processing toolkit.
Results you can trust.
Trustworthy AI document processing toolkit.
Supporting complex documents.
Up to 200 pages.
Claim submissions are a messy mix of unstructured data. This agent is designed to read them all, finding critical triage information in handwritten ACORD forms, unstructured emails, and formal attorney representation letters.
Input types
50+ languages
Handwritten
200 pages
Multi-modal
Document types
PDFs
URL
Emails
Forms
Scanned Documents
Vendor_US.xlsx

3
Supply_2023.pptx

Review_Legal.pdf

Supporting complex documents.
Up to 200 pages.
Claim submissions are a messy mix of unstructured data. This agent is designed to read them all, finding critical triage information in handwritten ACORD forms, unstructured emails, and formal attorney representation letters.
Input types
50+ languages
Handwritten
200 pages
Multi-modal
Document types
PDFs
URL
Emails
Forms
Scanned Documents
Vendor_US.xlsx

3
Supply_2023.pptx

Review_Legal.pdf

Supporting complex documents.
Up to 200 pages.
Claim submissions are a messy mix of unstructured data. This agent is designed to read them all, finding critical triage information in handwritten ACORD forms, unstructured emails, and formal attorney representation letters.
Input types
50+ languages
Handwritten
200 pages
Multi-modal
Document types
PDFs
URL
Emails
Forms
Scanned Documents
Vendor_US.xlsx

3
Supply_2023.pptx

Review_Legal.pdf

Reach 99% accuracy rate
through GenAI reasoning.
Correct routing depends on accurately interpreting the claim. The agent uses AI reasoning to understand the context of the loss description and claimant statements to make a precise severity assessment based on your business rules.
Model providers

Security note
V7 never trains models on your private data. We keep your data encrypted and allow you to deploy your own models.
Answer
Type
Text
Tool
o4 Mini
Reasoning effort
Min
Low
Mid
High
AI Citations
Inputs
Set a prompt (Press @ to mention an input)
Reach 99% accuracy rate
through GenAI reasoning.
Correct routing depends on accurately interpreting the claim. The agent uses AI reasoning to understand the context of the loss description and claimant statements to make a precise severity assessment based on your business rules.
Model providers

Security note
V7 never trains models on your private data. We keep your data encrypted and allow you to deploy your own models.
Answer
Type
Text
Tool
o4 Mini
Reasoning effort
Min
Low
Mid
High
AI Citations
Inputs
Set a prompt (Press @ to mention an input)
Reach 99% accuracy rate
through GenAI reasoning.
Correct routing depends on accurately interpreting the claim. The agent uses AI reasoning to understand the context of the loss description and claimant statements to make a precise severity assessment based on your business rules.
Model providers

Security note
V7 never trains models on your private data. We keep your data encrypted and allow you to deploy your own models.
Answer
Type
Text
Tool
o4 Mini
Reasoning effort
Min
Low
Mid
High
AI Citations
Inputs
Set a prompt (Press @ to mention an input)
Trustworthy results,
grounded in reality.
Every triage decision is fully auditable. The agent's summary report provides visual citations that link every data point—like the presence of an injury or a specific hazard—back to the exact sentence in the original submission document.

Visual grounding in action
00:54
Deliberate Misrepresentation: During the trial, evidence was presented showing that John Doe deliberately misrepresented his income on multiple occasions over several years. This included falsifying documents, underreporting income, and inflating deductions to lower his tax liability. Such deliberate deception demonstrates intent to evade taxes.
Pattern of Behavior: The prosecution demonstrated a consistent pattern of behavior by John Doe, spanning several years, wherein he consistently failed to report substantial portions of his income. This pattern suggested a systematic attempt to evade taxes rather than mere oversight or misunderstanding.
Concealment of Assets: Forensic accounting revealed that John Doe had taken significant steps to conceal his assets offshore, including setting up shell companies and using complex financial structures to hide income from tax authorities. Such elaborate schemes indicate a deliberate effort to evade taxes and avoid detection.
Failure to Cooperate: Throughout the investigation and trial, John Doe displayed a lack of cooperation with tax authorities. He refused to provide requested documentation, obstructed the audit process, and failed to disclose relevant financial information. This obstructionism further supported the prosecution's argument of intentional tax evasion.
Prior Warning and Ignoring Compliance

02
01
01
02
Trustworthy results,
grounded in reality.
Every triage decision is fully auditable. The agent's summary report provides visual citations that link every data point—like the presence of an injury or a specific hazard—back to the exact sentence in the original submission document.

Visual grounding in action
00:54
Deliberate Misrepresentation: During the trial, evidence was presented showing that John Doe deliberately misrepresented his income on multiple occasions over several years. This included falsifying documents, underreporting income, and inflating deductions to lower his tax liability. Such deliberate deception demonstrates intent to evade taxes.
Pattern of Behavior: The prosecution demonstrated a consistent pattern of behavior by John Doe, spanning several years, wherein he consistently failed to report substantial portions of his income. This pattern suggested a systematic attempt to evade taxes rather than mere oversight or misunderstanding.
Concealment of Assets: Forensic accounting revealed that John Doe had taken significant steps to conceal his assets offshore, including setting up shell companies and using complex financial structures to hide income from tax authorities. Such elaborate schemes indicate a deliberate effort to evade taxes and avoid detection.
Failure to Cooperate: Throughout the investigation and trial, John Doe displayed a lack of cooperation with tax authorities. He refused to provide requested documentation, obstructed the audit process, and failed to disclose relevant financial information. This obstructionism further supported the prosecution's argument of intentional tax evasion.
Prior Warning and Ignoring Compliance

02
01
01
02
Trustworthy results,
grounded in reality.
Every triage decision is fully auditable. The agent's summary report provides visual citations that link every data point—like the presence of an injury or a specific hazard—back to the exact sentence in the original submission document.

Visual grounding in action
00:54
Deliberate Misrepresentation: During the trial, evidence was presented showing that John Doe deliberately misrepresented his income on multiple occasions over several years. This included falsifying documents, underreporting income, and inflating deductions to lower his tax liability. Such deliberate deception demonstrates intent to evade taxes.
Pattern of Behavior: The prosecution demonstrated a consistent pattern of behavior by John Doe, spanning several years, wherein he consistently failed to report substantial portions of his income. This pattern suggested a systematic attempt to evade taxes rather than mere oversight or misunderstanding.
Concealment of Assets: Forensic accounting revealed that John Doe had taken significant steps to conceal his assets offshore, including setting up shell companies and using complex financial structures to hide income from tax authorities. Such elaborate schemes indicate a deliberate effort to evade taxes and avoid detection.
Failure to Cooperate: Throughout the investigation and trial, John Doe displayed a lack of cooperation with tax authorities. He refused to provide requested documentation, obstructed the audit process, and failed to disclose relevant financial information. This obstructionism further supported the prosecution's argument of intentional tax evasion.
Prior Warning and Ignoring Compliance

02
01
01
02
Enterprise grade security
for high-stake industries.
Claim files contain highly sensitive personal and medical information (PII/PHI). V7 Go is architected to protect this data, processing all submissions within your secure environment and ensuring full compliance with privacy laws.
Certifications
GDPR
SOC2
HIPAA
ISO
Safety
Custom storage
Data governance
Access-level permissions
Enterprise grade security
for high-stake industries.
Claim files contain highly sensitive personal and medical information (PII/PHI). V7 Go is architected to protect this data, processing all submissions within your secure environment and ensuring full compliance with privacy laws.
Certifications
GDPR
SOC2
HIPAA
ISO
Safety
Custom storage
Data governance
Access-level permissions
Enterprise grade security
for high-stake industries.
Claim files contain highly sensitive personal and medical information (PII/PHI). V7 Go is architected to protect this data, processing all submissions within your secure environment and ensuring full compliance with privacy laws.
Certifications
GPDR
SOC2
HIPAA
ISO
Safety
Custom storage
Data governance
Access-level permissions
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Answers
Answers
What you need to know about our
AI Claims Triage Agent
How do we define our custom triage and routing rules?
You provide your assignment logic in a simple format (like a checklist or decision tree) and we help configure it in the agent. For example: 'If claim is < $5,000 AND no injury, THEN route to Fast Track. IF 'attorney' is mentioned, THEN route to Litigation.'
+
How do we define our custom triage and routing rules?
You provide your assignment logic in a simple format (like a checklist or decision tree) and we help configure it in the agent. For example: 'If claim is < $5,000 AND no injury, THEN route to Fast Track. IF 'attorney' is mentioned, THEN route to Litigation.'
+
How do we define our custom triage and routing rules?
You provide your assignment logic in a simple format (like a checklist or decision tree) and we help configure it in the agent. For example: 'If claim is < $5,000 AND no injury, THEN route to Fast Track. IF 'attorney' is mentioned, THEN route to Litigation.'
+
How does it assess the 'severity' of a claim?
It's based on the data it extracts and your rules. It analyzes factors like the reported damages, whether injuries are mentioned, if third parties are involved, and keywords in the loss description to make an initial severity classification.
+
How does it assess the 'severity' of a claim?
It's based on the data it extracts and your rules. It analyzes factors like the reported damages, whether injuries are mentioned, if third parties are involved, and keywords in the loss description to make an initial severity classification.
+
How does it assess the 'severity' of a claim?
It's based on the data it extracts and your rules. It analyzes factors like the reported damages, whether injuries are mentioned, if third parties are involved, and keywords in the loss description to make an initial severity classification.
+
Does this agent integrate with our claims management system?
Yes. After triaging the claim, the agent can make an API call to your core claims system (like Guidewire) to create the new claim file and make the initial assignment directly in the system.
+
Does this agent integrate with our claims management system?
Yes. After triaging the claim, the agent can make an API call to your core claims system (like Guidewire) to create the new claim file and make the initial assignment directly in the system.
+
Does this agent integrate with our claims management system?
Yes. After triaging the claim, the agent can make an API call to your core claims system (like Guidewire) to create the new claim file and make the initial assignment directly in the system.
+
Can it handle a high volume of claims, for example during a catastrophe?
Absolutely. The agent is built to scale. During a CAT event, it can process thousands of incoming FNOLs per hour, providing instant triage and ensuring your team isn't overwhelmed by the volume.
+
Can it handle a high volume of claims, for example during a catastrophe?
Absolutely. The agent is built to scale. During a CAT event, it can process thousands of incoming FNOLs per hour, providing instant triage and ensuring your team isn't overwhelmed by the volume.
+
Can it handle a high volume of claims, for example during a catastrophe?
Absolutely. The agent is built to scale. During a CAT event, it can process thousands of incoming FNOLs per hour, providing instant triage and ensuring your team isn't overwhelmed by the volume.
+
What is the output of the triage process?
The primary output is the action itself: routing the claim to the right queue or person. It also generates a summary report detailing *why* each claim was routed a certain way, creating a clear audit trail of the decision.
+
What is the output of the triage process?
The primary output is the action itself: routing the claim to the right queue or person. It also generates a summary report detailing *why* each claim was routed a certain way, creating a clear audit trail of the decision.
+
What is the output of the triage process?
The primary output is the action itself: routing the claim to the right queue or person. It also generates a summary report detailing *why* each claim was routed a certain way, creating a clear audit trail of the decision.
+
How is this different from the Claims Automation Agent?
The Claims Automation Agent focuses on extracting all the data to set up the claim file. The Triage Agent takes that data and makes the first critical *decision*: Where should this claim go? They are designed to work together in a sequence.
+
How is this different from the Claims Automation Agent?
The Claims Automation Agent focuses on extracting all the data to set up the claim file. The Triage Agent takes that data and makes the first critical *decision*: Where should this claim go? They are designed to work together in a sequence.
+
How is this different from the Claims Automation Agent?
The Claims Automation Agent focuses on extracting all the data to set up the claim file. The Triage Agent takes that data and makes the first critical *decision*: Where should this claim go? They are designed to work together in a sequence.
+
Next steps
Next steps
Is manual triage creating a bottleneck in your claims process?
Send us a batch of your recent anonymized claims and your assignment rules. We'll show you how our AI agent can triage and route them automatically.
Uncover hidden liabilities
in
supplier contracts.
V7 Go transforms documents into strategic assets. 150+ enterprises are already on board:
Uncover hidden liabilities
in
supplier contracts.
V7 Go transforms documents into strategic assets. 150+ enterprises are already on board:
