ClaimRelay AI automates insurance claims processing for agencies, TPAs, and regional carriers. AI agents handle FNOL intake, document collection, adjuster coordination, policyholder status updates, and payment workflows. Replaces phone-based intake and email-chain document chasing with structured, SLA-tracked claims management.
Under the hood, ClaimRelay deploys purpose-built AI agents that each handle a specific function: Relay the FNOL Intake Agent (fnol intake), DocHound the Document Collection Agent (document collector), StatusBot the Policyholder Communication Agent (status communicator). Each agent operates autonomously within defined boundaries, escalating to human staff when situations require professional judgment.
Compliance is built in from the ground up, with rules enforced for state-claims-sla, claims-confidentiality, claims-litigation-protocol, HIPAA. Integrates with Applied Epic, Vertafore AMS360, Guidewire ClaimCenter, Duck Creek Claims, ISO ClaimSearch / CLUE, Xactimate and more. Communicates via email, sms, chat, phone.
Insurance agencies, TPAs, regional carriers, claims adjusters
FNOL capture via phone, web, or email. Auto-assign claim number, adjuster, and coverage verification.
Request and track medical records, repair estimates, photos, and police reports automatically.
Schedule inspections, track field adjuster assignments, and follow up on outstanding reports.
Proactive status notifications at every milestone. Reduce inbound call volume by 40%.
Track reserve adequacy, flag large-loss escalations, and alert supervisors on aging claims.
Monitor payment approvals, issue payments, and track subrogation and recovery opportunities.
14-day free trial
14-day free trial
14-day free trial