90% ROI increase
AI Claims Processing Agent
Let AI handle the manual operational work
V7 Go's claims processing agent validates claims, verifies coverage, and calculates payments automatically. Convert messy, unformatted claims documents into structured, actionable data with every insight linked to its source.
Shareholder agreement review
See Insurance Claims Automation Agent in action
Play video
Shareholder agreement review
See Insurance Claims Automation Agent in action
Play video
Shareholder agreement review
See Insurance Claims Automation Agent in action
Play video
Shareholder agreement review
See Insurance Claims Automation Agent in action
Play video
Time comparison
Time comparison
Traditional way
2-3 hours per claim
2-3 hours per claim
With V7 Go agents
10-20 minutes per claim
10-20 minutes per claim
Average time saved
60-80%
60-80%
Why V7 Go
Why V7 Go
Claim Validation
Automatically review claims submissions for completeness and accuracy. Identify missing information, inconsistencies, and potential fraud indicators while prioritizing claims based on complexity and urgency.
Claim Validation
Automatically review claims submissions for completeness and accuracy. Identify missing information, inconsistencies, and potential fraud indicators while prioritizing claims based on complexity and urgency.
Claim Validation
Automatically review claims submissions for completeness and accuracy. Identify missing information, inconsistencies, and potential fraud indicators while prioritizing claims based on complexity and urgency.
Claim Validation
Automatically review claims submissions for completeness and accuracy. Identify missing information, inconsistencies, and potential fraud indicators while prioritizing claims based on complexity and urgency.
Coverage Verification
Analyze policy documents to determine coverage applicability for specific claims. Identify relevant policy provisions, exclusions, and limitations that impact claim decisions.
Coverage Verification
Analyze policy documents to determine coverage applicability for specific claims. Identify relevant policy provisions, exclusions, and limitations that impact claim decisions.
Coverage Verification
Analyze policy documents to determine coverage applicability for specific claims. Identify relevant policy provisions, exclusions, and limitations that impact claim decisions.
Coverage Verification
Analyze policy documents to determine coverage applicability for specific claims. Identify relevant policy provisions, exclusions, and limitations that impact claim decisions.
Payment Calculation
Determine appropriate payment amounts based on policy terms, coverage limits, deductibles, and claim documentation. Apply complex calculation rules consistently across similar claims.
Payment Calculation
Determine appropriate payment amounts based on policy terms, coverage limits, deductibles, and claim documentation. Apply complex calculation rules consistently across similar claims.
Payment Calculation
Determine appropriate payment amounts based on policy terms, coverage limits, deductibles, and claim documentation. Apply complex calculation rules consistently across similar claims.
Payment Calculation
Determine appropriate payment amounts based on policy terms, coverage limits, deductibles, and claim documentation. Apply complex calculation rules consistently across similar claims.
Claims Document Processing
Extract key information from diverse claim documents including First Notice of Loss forms, medical reports, repair estimates, and supporting evidence. Process documents in any format—from PDFs and images to handwritten notes.
Claims Document Processing
Extract key information from diverse claim documents including First Notice of Loss forms, medical reports, repair estimates, and supporting evidence. Process documents in any format—from PDFs and images to handwritten notes.
Claims Document Processing
Extract key information from diverse claim documents including First Notice of Loss forms, medical reports, repair estimates, and supporting evidence. Process documents in any format—from PDFs and images to handwritten notes.
Claims Document Processing
Extract key information from diverse claim documents including First Notice of Loss forms, medical reports, repair estimates, and supporting evidence. Process documents in any format—from PDFs and images to handwritten notes.
Coverage Evaluation
Assess whether claimed losses are covered under the specific policy provisions. Identify applicable coverage sections, evaluate policy conditions, and determine if exclusions apply to specific claim elements.
Coverage Evaluation
Assess whether claimed losses are covered under the specific policy provisions. Identify applicable coverage sections, evaluate policy conditions, and determine if exclusions apply to specific claim elements.
Coverage Evaluation
Assess whether claimed losses are covered under the specific policy provisions. Identify applicable coverage sections, evaluate policy conditions, and determine if exclusions apply to specific claim elements.
Coverage Evaluation
Assess whether claimed losses are covered under the specific policy provisions. Identify applicable coverage sections, evaluate policy conditions, and determine if exclusions apply to specific claim elements.
Payment Assessment
Calculate appropriate settlement amounts based on documented losses, policy limits, and applicable deductibles. Apply consistent valuation methodologies across similar claim types for fair and equitable settlements.
Payment Assessment
Calculate appropriate settlement amounts based on documented losses, policy limits, and applicable deductibles. Apply consistent valuation methodologies across similar claim types for fair and equitable settlements.
Payment Assessment
Calculate appropriate settlement amounts based on documented losses, policy limits, and applicable deductibles. Apply consistent valuation methodologies across similar claim types for fair and equitable settlements.
Payment Assessment
Calculate appropriate settlement amounts based on documented losses, policy limits, and applicable deductibles. Apply consistent valuation methodologies across similar claim types for fair and equitable settlements.
Process FNOLs, medical reports, and repair estimates.
Validate claimant data, coverage limits, and payment amounts.
Get started
Get started
Import your files
Guidewire ClaimCenter
,
Duck Creek Claims
,
Salesforce
Import your files from whereever they are currently stored
First Notice of Loss Forms
First Notice of Loss Forms
Policy Documents
Policy Documents
Medical Reports
Medical Reports
Incident Reports
Incident Reports
Repair Estimates
Repair Estimates
Supporting Evidence
Supporting Evidence
All types of Insurance documents supported
Claimant information and contact details
Claimant information and contact details
Loss date, location, and description
Loss date, location, and description
Policy coverage details and limits
Policy coverage details and limits
Damage assessment and valuation
Damage assessment and valuation
Deductible amounts and application
Deductible amounts and application
Coverage exclusions and limitations
Coverage exclusions and limitations
Prior claims history and patterns
Prior claims history and patterns
Payment calculation components
Payment calculation components
Third-party information and liability
Third-party information and liability
Recovery and subrogation opportunities
Recovery and subrogation opportunities
Item 01
Item 01
Once imported our system extracts and organises the essentials
Customer Voices
Customer Voices
Building trustworthy AI, trained on your data.
Join the world's best teams and Fortune 500s.
Building trustworthy AI. Join the world's best teams and Fortune 500s.
Healthcare
•
Finance
•
Legal
•
Insurance
•
Logistics
•
Biotechnology
•
Manufacturing
•
Real Estate
Healthcare
•
Finance
•
Legal
•
Insurance
•
Logistics
•
Biotechnology
•
Manufacturing
•
Real Estate
Healthcare
•
Finance
•
Legal
•
Insurance
•
Logistics
•
Biotechnology
•
Manufacturing
•
Real Estate
Customer Voices
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
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
Healthcare
The configurability and extensive API interface of V7 has enabled us to quickly create, customise, deploy and make changes to our labelling processes all through automated communications with our own backend tooling.
Read the full story
Healthcare
The configurability and extensive API interface of V7 has enabled us to quickly create, customise, deploy and make changes to our labelling processes all through automated communications with our own backend tooling.
Read the full story
Automotive
"We chose V7 because we wanted to build new types of workflows. We had our own system, but we wanted it to accomplish additional tasks, like create other annotation types, re-annotations, annotations on videos—activities that would be a lot of effort in development."
Read the full story
Automotive
"We chose V7 because we wanted to build new types of workflows. We had our own system, but we wanted it to accomplish additional tasks, like create other annotation types, re-annotations, annotations on videos—activities that would be a lot of effort in development."
Read the full story
Automotive
“We tried multiple other annotation providers, but none matched the accuracy and time savings of V7 and DDD working together.”
Read the full story
Automotive
“We tried multiple other annotation providers, but none matched the accuracy and time savings of V7 and DDD working together.”
Read the full story
Agriculture
"We needed a tool that could do annotating and data versioning because we distribute our tools to farms, and we need to make sure that they have the same version of data for the same models."
Read the full story
Agriculture
"We needed a tool that could do annotating and data versioning because we distribute our tools to farms, and we need to make sure that they have the same version of data for the same models."
Read the full story
Healthcare
“I have worked with 600+ vendors in my life. I always look at good technology, stable company, good people, and how much a vendor is invested in your success. I found all of those things with V7.”
Read the full story
Healthcare
“I have worked with 600+ vendors in my life. I always look at good technology, stable company, good people, and how much a vendor is invested in your success. I found all of those things with V7.”
Read the full story
Software
“V7 made it possible to build a dataset we couldn't build before—fast. It’s been a real level change.”
Read the full story
Software
“V7 made it possible to build a dataset we couldn't build before—fast. It’s been a real level change.”
Read the full story
Agriculture
"V7 is really easy to use and has great customer support—bugs are fixed, email support is very fast, and feature requests are delivered as promised."
Read the full story
Agriculture
"V7 is really easy to use and has great customer support—bugs are fixed, email support is very fast, and feature requests are delivered as promised."
Read the full story
Healthcare
"We use V7 for digital pathology image annotation - it streamlines the process so that we can get the data in the easy-to-parse format for ML purposes."
Read the full story
Healthcare
"We use V7 for digital pathology image annotation - it streamlines the process so that we can get the data in the easy-to-parse format for ML purposes."
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
Healthcare
The configurability and extensive API interface of V7 has enabled us to quickly create, customise, deploy and make changes to our labelling processes all through automated communications with our own backend tooling.
Read the full story
Automotive
"We chose V7 because we wanted to build new types of workflows. We had our own system, but we wanted it to accomplish additional tasks, like create other annotation types, re-annotations, annotations on videos—activities that would be a lot of effort in development."
Read the full story
Automotive
“We tried multiple other annotation providers, but none matched the accuracy and time savings of V7 and DDD working together.”
Read the full story
Agriculture
"We needed a tool that could do annotating and data versioning because we distribute our tools to farms, and we need to make sure that they have the same version of data for the same models."
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.
From handwritten notes to complex graphs, V7 Go reads and understands them all—even when layouts shift across documents. Process hundreds of documents and pages, transforming them into structured outputs with task-based workflows you can customize or build from scratch.
Input types
50+ languages
Handwritten
200 pages
Multi-modal
Document types
PDFs
URL
Tables
Graphs
Speadsheets
Vendor_US.xlsx
3
Supply_2023.pptx
Review_Legal.pdf
Supporting complex documents.
Up to 200 pages.
From handwritten notes to complex graphs, V7 Go reads and understands them all—even when layouts shift across documents. Process hundreds of documents and pages, transforming them into structured outputs with task-based workflows you can customize or build from scratch.
Input types
50+ languages
Handwritten
200 pages
Multi-modal
Document types
PDFs
URL
Tables
Graphs
Speadsheets
Vendor_US.xlsx
3
Supply_2023.pptx
Review_Legal.pdf
Supporting complex documents.
Up to 200 pages.
From handwritten notes to complex graphs, V7 Go reads and understands them all—even when layouts shift across documents. Process hundreds of documents and pages, transforming them into structured outputs with task-based workflows you can customize or build from scratch.
Input types
50+ languages
Handwritten
200 pages
Multi-modal
Document types
PDFs
URL
Tables
Graphs
Speadsheets
Vendor_US.xlsx
3
Supply_2023.pptx
Review_Legal.pdf
Reach 99% accuracy rate through GenAI reasoning.
Break down complex document processing into discrete steps. Choose from top GenAI models, OCR tools, custom Python code, or integrate your own model to achieve fast, accurate, and reliable results with outputs you can trust.
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
Off
Low
Mid
High
AI Citations
Inputs
Set a prompt (Press @ to mention an input)
Reach 99% accuracy rate through GenAI reasoning.
Break down complex document processing into discrete steps. Choose from top GenAI models, OCR tools, custom Python code, or integrate your own model to achieve fast, accurate, and reliable results with outputs you can trust.
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
Off
Low
Mid
High
AI Citations
Inputs
Set a prompt (Press @ to mention an input)
Reach 99% accuracy rate through GenAI reasoning.
Break down complex document processing into discrete steps. Choose from top GenAI models, OCR tools, custom Python code, or integrate your own model to achieve fast, accurate, and reliable results with outputs you can trust.
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
Off
Low
Mid
High
AI Citations
Inputs
Set a prompt (Press @ to mention an input)
Trustworthy results,
grounded in reality.
You can verify if AI-generated responses are true and which excerpts they were based on. AI models in V7 Go automatically highlight source areas in your documents. Human reviewers can focus their time on results with lower confidence scores and make corrections when needed.
Visual grouding 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
![](data:image/svg+xml,<svg display="block" role="presentation" viewBox="0 0 198 15" xmlns="http://www.w3.org/2000/svg"><defs ><clipPath id="J0QEw1Ctk-2037569988-stroke"><use href="%23J0QEw1Ctk-2037569988"/></clipPath><path d="M 0 1 C 0 0.448 0.448 0 1 0 L 197 0 C 197.552 0 198 0.448 198 1 L 198 9 C 198 9.552 197.552 10 197 10 L 76 10 L 76 14 C 76 14.552 75.552 15 75 15 L 1 15 C 0.448 15 0 14.552 0 14 Z" id="J0QEw1Ctk-2037569988"/></defs><use fill="rgba(124, 58, 237, 0.1)" height="15px" href="%23J0QEw1Ctk-2037569988" id="J0QEw1Ctk" width="198px"/><use clip-path="url(%23J0QEw1Ctk-2037569988-stroke)" fill="transparent" href="%23J0QEw1Ctk-2037569988" stroke-dasharray="0" stroke-linecap="butt" stroke-linejoin="miter" stroke-miterlimit="4" stroke-width="1" stroke="rgb(124, 58, 237)"/></svg>)
02
01
01
02
Trustworthy results,
grounded in reality.
You can verify if AI-generated responses are true and which excerpts they were based on. AI models in V7 Go automatically highlight source areas in your documents. Human reviewers can focus their time on results with lower confidence scores and make corrections when needed.
Visual grouding 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.
You can verify if AI-generated responses are true and which excerpts they were based on. AI models in V7 Go automatically highlight source areas in your documents. Human reviewers can focus their time on results with lower confidence scores and make corrections when needed.
Visual grouding 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.
Integrate V7 seamlessly with your existing tech stack. Our platform connects to your cloud infrastructure and ML frameworks while ensuring robust data security and compliance with rigorous standards.
Certifications
GPDR
SOC2
HIPAA
ISO
Safety
Custom storage
Data governance
Access-level permissions
Enterprise grade security for high-stake industries.
Integrate V7 seamlessly with your existing tech stack. Our platform connects to your cloud infrastructure and ML frameworks while ensuring robust data security and compliance with rigorous standards.
Certifications
GPDR
SOC2
HIPAA
ISO
Safety
Custom storage
Data governance
Access-level permissions
Enterprise grade security
for high-stake industries.
Integrate V7 seamlessly with your existing tech stack. Our platform connects to your cloud infrastructure and ML frameworks while ensuring robust data security and compliance with rigorous standards.
Certifications
GPDR
SOC2
HIPAA
ISO
Safety
Custom storage
Data governance
Access-level permissions
Pilot
Pilot
Curious how we can realise 90% ROI increase for you?
Send us a few samples, and we’ll deliver a custom demo with results—within 48 hours.
Send us a few samples, and we’ll deliver a custom demo with results—within 48 hours.
Send us a few samples, and we’ll deliver a custom demo with results—within 48 hours.
You’ll hear back in less than 24 hours
Vendor_US.xlsx
3
Supply_2023.pptx
Review_Legal.pdf
V7 Go
V7 Go
AI-powered solutions
for insurance professionals
Insurance claims handlers spend hours manually reviewing claims documents, verifying coverage, and calculating payments—repetitive work that delays claims resolution and reduces customer satisfaction. This labor-intensive process creates bottlenecks, particularly when dealing with complex claims involving multiple documents and policy provisions. V7 Go's claims processing agent automates claim validation, coverage verification, and payment calculation, reducing processing time by 60% while ensuring accuracy.
Claims Adjusters
Focus on complex decision-making and customer interaction while the agent handles document review and routine calculations. Process more claims with greater consistency and less administrative burden.
Claims Adjusters
Focus on complex decision-making and customer interaction while the agent handles document review and routine calculations. Process more claims with greater consistency and less administrative burden.
Claims Adjusters
Focus on complex decision-making and customer interaction while the agent handles document review and routine calculations. Process more claims with greater consistency and less administrative burden.
Claims Managers
Gain visibility into claims operations with standardized processing and detailed analytics. Improve team productivity while ensuring consistent application of claims guidelines.
Claims Managers
Gain visibility into claims operations with standardized processing and detailed analytics. Improve team productivity while ensuring consistent application of claims guidelines.
Claims Managers
Gain visibility into claims operations with standardized processing and detailed analytics. Improve team productivity while ensuring consistent application of claims guidelines.
Testimonials
Testimonials
Secure and trustworthy AI.
Hear what customers say.
Secure and trustworthy AI.
Hear what customers say.
Increase in Processing Speed
21x
Processing financial statements 21x faster while also increasing accuracy by 54% and significantly reducing labor costs.
Specialized Asset Management Firm
Document Type
20+ Page Reports
We use Collections on V7 Go to automate completion of our 20-page safety inspection reports. The system analyzes photos and supporting documentation and returns structured data for each question. It saves us hours on each report.
Ryan Ziegler
CEO of Certainty Software
Deploying complex AI workflows across large volumes of documents with V7 Go to increase accuracy, scale, and quality of legal services.
International Law Firm
Increase in Processing Speed
21x
Processing financial statements 21x faster while also increasing accuracy by 54% and significantly reducing labor costs.
Specialized Asset Management Firm
Document Type
20+ Page Reports
We use Collections on V7 Go to automate completion of our 20-page safety inspection reports. The system analyzes photos and supporting documentation and returns structured data for each question. It saves us hours on each report.
Ryan Ziegler
CEO of Certainty Software
Deploying complex AI workflows across large volumes of documents with V7 Go to increase accuracy, scale, and quality of legal services.
International Law Firm
Increase in Processing Speed
21x
Processing financial statements 21x faster while also increasing accuracy by 54% and significantly reducing labor costs.
Specialized Asset Management Firm
Document Type
20+ Page Reports
We use Collections on V7 Go to automate completion of our 20-page safety inspection reports. The system analyzes photos and supporting documentation and returns structured data for each question. It saves us hours on each report.
Ryan Ziegler
CEO of Certainty Software
Deploying complex AI workflows across large volumes of documents with V7 Go to increase accuracy, scale, and quality of legal services.
International Law Firm
Answers
Answers
What you need to know about our
Insurance Claims Automation Agent
How does the claims processing agent handle First Notice of Loss (FNOL) information?
The agent extracts and organizes key information from FNOL submissions regardless of format—whether structured forms, emails, scanned documents, or even audio recordings of reported claims. It identifies critical details including loss date, type, location, and claimant information. The system flags missing or inconsistent information for immediate follow-up while routing claims to appropriate handlers based on complexity, severity, and coverage type. Each extracted data point links directly to its source in the original submission for easy verification.
+
How does the claims processing agent handle First Notice of Loss (FNOL) information?
The agent extracts and organizes key information from FNOL submissions regardless of format—whether structured forms, emails, scanned documents, or even audio recordings of reported claims. It identifies critical details including loss date, type, location, and claimant information. The system flags missing or inconsistent information for immediate follow-up while routing claims to appropriate handlers based on complexity, severity, and coverage type. Each extracted data point links directly to its source in the original submission for easy verification.
+
How does the claims processing agent handle First Notice of Loss (FNOL) information?
The agent extracts and organizes key information from FNOL submissions regardless of format—whether structured forms, emails, scanned documents, or even audio recordings of reported claims. It identifies critical details including loss date, type, location, and claimant information. The system flags missing or inconsistent information for immediate follow-up while routing claims to appropriate handlers based on complexity, severity, and coverage type. Each extracted data point links directly to its source in the original submission for easy verification.
+
Can the agent process complex claims with multiple documents and evidence types?
Yes, the agent excels at handling complex claims involving diverse document types. It processes medical reports, repair estimates, photographs, witness statements, expert opinions, and other supporting evidence in a coordinated manner. The system maintains relationships between different documents related to the same claim, creating a comprehensive view of the entire claim file. For complex claims, the agent identifies interdependencies between documents and highlights potentially conflicting information that requires further investigation.
+
Can the agent process complex claims with multiple documents and evidence types?
Yes, the agent excels at handling complex claims involving diverse document types. It processes medical reports, repair estimates, photographs, witness statements, expert opinions, and other supporting evidence in a coordinated manner. The system maintains relationships between different documents related to the same claim, creating a comprehensive view of the entire claim file. For complex claims, the agent identifies interdependencies between documents and highlights potentially conflicting information that requires further investigation.
+
Can the agent process complex claims with multiple documents and evidence types?
Yes, the agent excels at handling complex claims involving diverse document types. It processes medical reports, repair estimates, photographs, witness statements, expert opinions, and other supporting evidence in a coordinated manner. The system maintains relationships between different documents related to the same claim, creating a comprehensive view of the entire claim file. For complex claims, the agent identifies interdependencies between documents and highlights potentially conflicting information that requires further investigation.
+
How does the agent verify coverage for specific claims?
The agent analyzes the applicable policy documents, including all endorsements and amendments, to determine coverage for specific claims. It identifies relevant policy sections, conditions, exclusions, and limitations that apply to the particular loss scenario. The system recognizes coverage nuances such as sublimits, special conditions, and claims-made vs. occurrence-based triggers. Each coverage determination includes links to the specific policy language being applied, ensuring transparency and verifiability in coverage decisions.
+
How does the agent verify coverage for specific claims?
The agent analyzes the applicable policy documents, including all endorsements and amendments, to determine coverage for specific claims. It identifies relevant policy sections, conditions, exclusions, and limitations that apply to the particular loss scenario. The system recognizes coverage nuances such as sublimits, special conditions, and claims-made vs. occurrence-based triggers. Each coverage determination includes links to the specific policy language being applied, ensuring transparency and verifiability in coverage decisions.
+
How does the agent verify coverage for specific claims?
The agent analyzes the applicable policy documents, including all endorsements and amendments, to determine coverage for specific claims. It identifies relevant policy sections, conditions, exclusions, and limitations that apply to the particular loss scenario. The system recognizes coverage nuances such as sublimits, special conditions, and claims-made vs. occurrence-based triggers. Each coverage determination includes links to the specific policy language being applied, ensuring transparency and verifiability in coverage decisions.
+
How accurate are the payment calculations performed by the agent?
The agent's payment calculations maintain 96-98% accuracy compared to experienced claims adjusters, with full transparency into how each figure is derived. The system applies consistent calculation methodologies based on documented losses, policy provisions, applicable deductibles, and benefit limits. For complex calculations involving depreciation, coinsurance, or specialized valuation rules, the agent shows its work step-by-step. Human adjusters can review these calculations, understand the logic applied, and make adjustments if necessary based on their expertise.
+
How accurate are the payment calculations performed by the agent?
The agent's payment calculations maintain 96-98% accuracy compared to experienced claims adjusters, with full transparency into how each figure is derived. The system applies consistent calculation methodologies based on documented losses, policy provisions, applicable deductibles, and benefit limits. For complex calculations involving depreciation, coinsurance, or specialized valuation rules, the agent shows its work step-by-step. Human adjusters can review these calculations, understand the logic applied, and make adjustments if necessary based on their expertise.
+
How accurate are the payment calculations performed by the agent?
The agent's payment calculations maintain 96-98% accuracy compared to experienced claims adjusters, with full transparency into how each figure is derived. The system applies consistent calculation methodologies based on documented losses, policy provisions, applicable deductibles, and benefit limits. For complex calculations involving depreciation, coinsurance, or specialized valuation rules, the agent shows its work step-by-step. Human adjusters can review these calculations, understand the logic applied, and make adjustments if necessary based on their expertise.
+
Can the claims processing agent integrate with our existing claims management system?
Yes, the agent integrates with major claims management platforms including Guidewire ClaimCenter, Duck Creek Claims, Salesforce, and custom-built systems. It can pull claim information directly from your existing system and push processed results back into your workflows. The API supports bidirectional data exchange, allowing the agent to function as an intelligent layer within your current claims ecosystem. This integration capability means you can enhance your existing processes without disrupting established workflows or requiring staff to learn entirely new systems.
+
Can the claims processing agent integrate with our existing claims management system?
Yes, the agent integrates with major claims management platforms including Guidewire ClaimCenter, Duck Creek Claims, Salesforce, and custom-built systems. It can pull claim information directly from your existing system and push processed results back into your workflows. The API supports bidirectional data exchange, allowing the agent to function as an intelligent layer within your current claims ecosystem. This integration capability means you can enhance your existing processes without disrupting established workflows or requiring staff to learn entirely new systems.
+
Can the claims processing agent integrate with our existing claims management system?
Yes, the agent integrates with major claims management platforms including Guidewire ClaimCenter, Duck Creek Claims, Salesforce, and custom-built systems. It can pull claim information directly from your existing system and push processed results back into your workflows. The API supports bidirectional data exchange, allowing the agent to function as an intelligent layer within your current claims ecosystem. This integration capability means you can enhance your existing processes without disrupting established workflows or requiring staff to learn entirely new systems.
+
How does the agent handle human-in-the-loop verification?
The agent supports configurable human-in-the-loop guardrails at any stage of the claims process. You can set thresholds for claim complexity, value, or specific attributes that trigger human review. The system presents relevant information and its analysis in a clear, structured format that enables efficient human verification. Adjusters can approve, modify, or override the agent's recommendations with a clear audit trail of decisions. This approach combines AI efficiency with human expertise, particularly valuable for complex or high-value claims that benefit from experienced judgment.
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How does the agent handle human-in-the-loop verification?
The agent supports configurable human-in-the-loop guardrails at any stage of the claims process. You can set thresholds for claim complexity, value, or specific attributes that trigger human review. The system presents relevant information and its analysis in a clear, structured format that enables efficient human verification. Adjusters can approve, modify, or override the agent's recommendations with a clear audit trail of decisions. This approach combines AI efficiency with human expertise, particularly valuable for complex or high-value claims that benefit from experienced judgment.
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How does the agent handle human-in-the-loop verification?
The agent supports configurable human-in-the-loop guardrails at any stage of the claims process. You can set thresholds for claim complexity, value, or specific attributes that trigger human review. The system presents relevant information and its analysis in a clear, structured format that enables efficient human verification. Adjusters can approve, modify, or override the agent's recommendations with a clear audit trail of decisions. This approach combines AI efficiency with human expertise, particularly valuable for complex or high-value claims that benefit from experienced judgment.
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Process claims in minutes, not hours
Process claims in minutes, not hours
Process claims in minutes, not hours
Reduce claims processing time by 60% while improving accuracy and consistency
Reduce claims processing time by 60% while improving accuracy and consistency
Reduce claims processing time by 60% while improving accuracy and consistency
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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: