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Insurance

Claims Communication Agent

Keep claimants informed without overwhelming your team. The Claims Agent handles status inquiries 24/7, collects documents, coordinates surveyor visits, and proactively updates customers at every stage. Your team can focus on faster settlements.

90%
Queries resolved automatically
60%
Reduction in status calls
2min
Average response time
24/7
Availability

Turn claims anxiety into confidence

Five ways the Claims Agent transforms the claims experience

Real-time Claim Status Updates

Customers call or message 24/7. Agent instantly pulls claim status from your system and explains exactly where the claim stands. No waiting on hold. No callback promises. Immediate answers.

90% of status queries resolved instantly
Connect to any claims management system
Reduce status call volume by 60%
Available via voice, WhatsApp, SMS

Document Collection & Verification

Automatically identify required documents based on claim type. Send personalized requests via WhatsApp. Validate uploaded documents against requirements. Flag issues before processing.

Reduce document collection time by 70%
Photo quality validation
Auto-expiry date checking
Organized document storage

Surveyor Visit Coordination

Schedule surveyor appointments at customer-convenient times. Send reminders before the visit. Handle reschedules. Follow up after to confirm inspection completion.

Reduce surveyor no-shows by 40%
Automated appointment reminders
Easy rescheduling via WhatsApp
Post-visit confirmation

Proactive Stage Notifications

Don't wait for customers to call. Automatically notify them when their claim moves to a new stage. Document received? Surveyor assigned? Claim approved? They know instantly.

Eliminate "what's happening" calls
Build customer confidence
Reduce complaint escalations
Customizable notification triggers

Settlement & Payment Communication

When claims are approved, share settlement details clearly. Explain amounts, deductions, and timelines. Provide payment tracking. Handle settlement-related questions.

Clear settlement explanations
Payment timeline visibility
Deduction breakdown
NEFT/check status updates

Transparent claims communication

The Claims Agent connects to your existing claims management system and TPAs. Real-time data sync means customers always get accurate, up-to-date information about their claim.

Multi-system integration (TPA, core)
Motor, health, life claim support
Real-time system sync
Intelligent escalation routing
IRDAI compliance built-in
Sentiment detection
Complete audit trail
SLA monitoring

Sample claim journey

Intimation
Claim registered
Confirmation sent to customer
Documents
Pending docs
Personalized request list sent
Survey
Surveyor assigned
Appointment scheduled
Assessment
Under review
Progress update shared
Settlement
Approved
Amount & timeline communicated

See the Claims Agent in action

See how the Claims Agent can reduce status calls and improve customer satisfaction during their most stressful moments.

Book a demo