ClaimAssist
Triage first-notice-of-loss submissions, extract key fields from adjuster notes, and route claims to the right desk.
Get FNOL off the fax pile and onto the right adjuster desk in minutes.
The problem
First notice of loss arrives as PDFs, emails, and portal uploads in inconsistent formats. Intake staff re-key the same fields, mis-route complex claims, and SLA clocks start before anyone has read the file.
Why teams choose ClaimAssist
ClaimAssist reads FNOL submissions and policy documents, extracts structured fields — loss date, peril, coverage limits, insured details — and classifies severity against your routing rules. It never approves payouts; it prepares clean intake packets for human adjusters.
Adjusters open their queue to organized cases instead of raw attachments. Supervisors see triage rationale and source citations. When a submission is ambiguous or high-severity, it lands in a human review queue with flags instead of slipping through silently.
Business outcomes
- •70% faster intake-to-assignment on standard property claims
- •Fewer mis-routed files and duplicate data entry
- •Policy-grounded answers with document citations for disputes
- •SLA dashboards by peril type and desk
Ideal for
P&C carriers, MGAs, and TPAs handling 500+ FNOL submissions per month who need intake speed without automating adjudication decisions.
How it works
We start with discovery to confirm fit, then provision your workspace, configure the template for your tier, and hand off access through the EdgeBridge client portal or licensed API. Custom builds follow a scoped milestone plan; licensed deployments can expand seats or move to enterprise as you scale.
Human oversight
Every automation ships with a clear off-switch and a human review path. Sensitive actions can be gated behind approval. Every action is written to an audit trail your team can inspect and export.
Security & data
Deployed on the cloud or private environment you specify, with per-license isolation. API keys are hashed and stored once. Chat logs are redacted by default. Your data is never used to train shared models. Enterprise plans include a signed DPA and can pin data residency.
Interactive use case
Try a live workflow with realistic sample data. Production deployments are scoped and licensed to your environment.
ClaimAssist use case
Licensing
Every engagement starts with a conversation. We don't publish list prices — ClaimAssist is available as a custom build, a per-seat license, or an enterprise agreement depending on your scale, compliance needs, and how closely the catalog template fits your environment.
Custom build
Tailored to your stack, data, and workflows. Scoped after discovery and delivered as fixed-fee milestones or an ongoing retainer.
- • Your integrations and data sources
- • Custom models or rules where needed
- • Implementation + handover docs
- • Quoted after a discovery call
Per-seat license
License a production-ready workflow for named users. Scale seats as your team grows — pricing aligned to headcount and usage band.
- • Named users with role-based access
- • Standard support and updates
- • Usage caps agreed upfront
- • Add seats without re-implementation
Enterprise license
Organization-wide deployment with security review, SLA, and optional dedicated cloud or data residency.
- • Site or org-wide coverage
- • Signed DPA / BAA where required
- • Dedicated support channel
- • Custom SLA and audit requirements
Reference configurations
Starting points from past deployments — final scope and licensing model are agreed during discovery.
Starter
Up to 5 seats · 2,500 msgs/mo band
- • 5 seats
- • 2,500 claims / mo
- • Policy doc uploads
- • Human review queue
Team
Up to 20 seats · 12,000 msgs/mo band
- • 20 seats
- • 12,000 claims / mo
- • Guidewire / Duck Creek hooks
- • SLA reporting