Every claim complete before anyone opens it.
The agent reads the claim form, invoices, medical reports and photos, pulls the policy and its limits, compares the invoice with the report, and asks the claimant for what’s missing, in their language, on their channel.
What comes in
- Claim forms
- Invoices and receipts
- Medical reports
- Photos
- Policy documents
Decisions it makes
- Complete
- Request documents
- Fast-track
- Refer to adjuster
- Flag for investigation
What comes in
- Claim forms
- Invoices and receipts
- Medical reports
- Photos
- Policy documents
What the agent does
- 1Reads every document in the claim
- 2Pulls the policy, its cover and its limits
- 3Checks dates and limits; compares the invoice with the report
- 4Requests missing documents from the claimant
Decisions it makes
- Complete
- Request documents
- Fast-track
- Refer to adjuster
- Flag for investigation
A fixed list you define. The agent picks one, or hands over.
A worked example
Claims checked against the policy; missing documents requested.
Illustrative. In shadow mode, nothing executes until you switch the decision type on.
Arrives
A motor claim arrives on WhatsApp: a form, a workshop invoice and four photos.
Read
Reads the form and the invoice in Thai. Police report not attached.
Look up
Pulls the policy: in force, own-damage cover, excess and limit.
Request
Asks the claimant for the police report in the same chat. Case paused.
Decide
Report arrives; amounts within limit, dates consistent. Suggests fast-track; an adjuster confirms.
Writes to
Every connection also works as a tool the agent uses mid-case.
Claims platforms
Claims platforms · In and out
Insurer core systems
Claims platforms · In and out
WhatsApp Business
Channels in · In and out
Email (IMAP)
Channels in · In and out
Claimant requests over WhatsApp, LINE, Zalo or email.
What we measure
Four numbers, measured on your cases.
Measured in shadow mode on your data, before anything is switched on.
Share of cases handled without a person
Error rate on those cases
Time saved
Cost per case
Talk to us about this process.
Thirty minutes on one process and its numbers. If it fits, the next step is Discovery or two weeks in shadow mode.