Claims automation with AI agents

Q: What is agentic AI-powered claims processing?

Agentic AI-powered claims processing uses a multiagent system that automates and optimizes the claims lifecycle autonomously. It utilizes vertical AI agents to perform specific tasks, reducing processing time and improving accuracy.

Q: Can I see how Digital ClerX works in my business environment before making a decision?

Yes. We offer a free live demo of our vertical AI agent platform, simulating your environment and connecting to your enterprise data. Schedule a live demo.

Reduce cost per claim. Minimize error rate. Improve customer satisfaction.

Agentic AI-powered claims automation

Streamline every step of insurance claims lifecycle with unmatched speed and precision with agentic AI-powered claims automation. Our vertical AI agents seamlessly integrate with your enterprise systems and collaborate to automate complex insurance claims processes end-to-end. Our intelligent agents continuously learn, adapt, and improve. So, you can enable your team to focus on complex issues that truly deserve their intervention.

Self-learning

High accuracy

Adaptability

Want to see our Claims ClerX in action?

Integrate with your enterprise systems

Seamlessly integrate the ClerX with thousands of line-of-business applications, including ERPs, CRMs, etc., to ensure smoother data exchange and consistency across systems

Assemble your AI agent workforce for automated claims processing

Document Intelligence Agent – Eliminate data entry errors

Extract data automatically from claim forms, invoices, medical records, and more using Optical Character Recognition (OCR) and Natural Language Processing (NLP).

Verify the data and identify missing information.

Validate customer details against existing records.
The impact:

No manual data entry

Zero human errors

Claims Validation Agent – Only valid claims move forward

Automatically verify policy details against the claim type.

Ensure claim consistency.

Identify incomplete claims and request corrections.
The impact:

Reduce disputes

Reduce manual workload

Fraud Detection Agent – Reduce fraudulent payouts

AI-powered fraud detection models to identify anomalies in claims.

Discover patterns of duplicate or inflated claims using agent Long Term Memory

Cross-check claim details with historical data and external databases.

The impact:

Minimize financial losses

Boost regulatory compliance

Settlement Calculation Agent – More accurate settlements

Accurately calculate settlement amounts factoring in coverage, depreciation, etc.

Get data-driven suggestions on negotiation for claims requiring human review.

Grounded in your organization’s settlement process and latest banking & insurance guidelines.
The impact:

Faster settlements

Improved customer satisfaction

Send Email Agent – Keep customers informed

Personalized emails to acknowledge upon claim submissions.

Notify adjusters and customers of required actions.

Provide real-time updates on claim status to customers.

The impact:

Reduce inquiry calls

Improve transparency

Redefining claims processing like never before

30% Productivity boost

25% Efficiency boost

12% Fraud reduction

20% Cost savings

Embrace Agentic AI for claims processing with confidence.

LLM-agnostic

Go with the model that best serves your interests. No restrictions.

Platform-agnostic

Cloud, on-prem, or both – deploy the Digital ClerX AI agents on any platform.

LOB Integration

Flexibility to connect with more than 1000 LOB systems. No silos.

Controllable autonomy

Agentic AI that works by your rules. Smooth hand-off to humans when necessary.

Faster deployment

Get started with our vertical AI agents in less than a week.

Customizable

Tailor the solution to meet your unique needs. One size doesn’t fit all.

The road to the future of AI-driven claims processing

Consulting

Meet with us to identify opportunities to leverage agentic process automation in your claims process. We help you create a tailored, strategic roadmap for successful implementation.

Customization

Customize the multi-agent system as per your claims processing workflow. Train the models on your enterprise data and infuse domain-specific skills for better performance.

Implementation

Integrate the multiagent system with your line-of-business systems. Seamlessly implement the solution in your infrastructure without disrupting your existing claims workflows.

Monitoring

Our team proactively monitors performance of our agents, ensuring high availability and reliability with swift support. We continuously innovate and enhance its capabilities to maximize value and efficiency.

Unlock the true power of automation in claims processing. The Agentic Way.

Get more done without increasing headcount. Minimize errors and risks in claims processing with agentic AI. Are you ready? Fill out the form, and we will reach out to you shortly.

Frequently asked questions on claims processing with AI agents

What is agentic AI-powered claims processing?

Agentic AI-powered claims processing the use of a multiagent system that automates and optimizes the claims lifecycle autonomously. It uses vertical AI agents to perform specific tasks, reducing processing time and improving accuracy.

Do you offer any workshops?

Yes. We offer consulting and workshops to help you identify potential opportunities to leverage multiagent systems in your business. To book a free consultation, contact us.

Can I integrate agents with all my systems?

Yes. We help you integrate the Digital ClerX agents with your existing business systems using connectors and APIs.

Can I see how Digital ClerX works in my business environment before making a decision?

Yes. We offer free live demo of our vertical AI agent platform, simulating your environment and connecting to your enterprise data. Schedule live demo.

Are the multiagent systems compliant with industry standards?

Yes. We work with you closely to ensure that our vertical AI agents comply with industry standards and most stringent regulations.

Platform