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AI Studio · Insurance

Claims intake automation for insurers

The first notice of loss sets the pace for every claim. If details are incomplete, the policy is not linked or the surveyor is appointed late, the customer waits and the file goes back and forth. Finaley AI Studio registers each FNOL from every channel, links it to the policy schedule, gathers the documents your claims manual asks for and prepares the file. Your claims handlers keep every decision on cover and settlement.

FNOL arrives in fragments

Losses are reported by phone, email, the customer app, brokers, agents and garages, often several times for the same event. Intake staff re-key details into the claims system, look up the policy, check whether it was in force, and send a document checklist by hand. Missing photos, FIRs or repair estimates trigger repeated calls. Surveyor appointments wait in a queue. Every delay here adds to turnaround and to complaints, before anyone has even assessed the loss.

How the automation runs

  1. 1

    Register the notice

    AI agent

    The agent captures FNOL from calls, emails, portal forms and broker messages, removes duplicates and creates one claim record with a reference number.

  2. 2

    Link the policy

    AI agent

    It finds the policy, confirms the period, insured asset and sum insured from the schedule, and notes any endorsements or past claims.

  3. 3

    Request the right documents

    AI agent

    Based on the line of business and claim type, it sends the customer a tailored checklist and chases outstanding items by message and email.

  4. 4

    Verify the site or asset

    Field verifier

    Where your process calls for it, a KYC-verified field verifier from the Finaley network visits to photograph the damaged vehicle or property and confirm basic facts.

  5. 5

    Appoint the surveyor

    AI agent

    For claims that need a licensed surveyor, it allocates one from your panel by location and claim size and shares the file.

  6. 6

    Claims handler takes over

    Professional check

    A complete intake file, with gaps and red flags listed, goes to the claims handler, who decides on cover, reserves and next steps.

Your claims system stays the system of record

Whether you run a core insurance platform, a TPA claims module or a spreadsheet tracker, Finaley registers and updates claims there, using an API where available and the screens otherwise. Email, call notes and portal submissions are read from the channels you already use, and your claim numbering and workflows are unchanged.

People decide cover and settlement

The automation collects and organises. It never accepts, rejects or values a claim. Claims handlers make every coverage decision, licensed surveyors assess loss, and any sign of a possible fraud pattern is passed to your investigation team for a human review.

What you get

  • Every FNOL registered once, whatever the channel
  • Policies and cover periods linked at intake
  • Document checklists tailored to each claim type
  • Complete files reaching claims handlers

Questions

Which lines of business can this handle?

Motor, health, property, marine and other general insurance lines, as long as the intake steps are defined. We start with the line where intake volume causes the most delay and learn its checklists from your claims manual and your intake team.

Does the automation decide whether a claim is covered?

No. It confirms facts such as the policy period and insured asset and lists anything that looks unusual. Coverage, liability and settlement decisions are always made by your claims handlers, with loss assessment by licensed surveyors where required.

What do field verifiers do?

Where your process needs a physical check, a KYC-verified field verifier from the Finaley network can visit to photograph damage, confirm that the asset exists and record the location. They are not surveyors and do not assess the loss; they gather evidence for your team.

Can brokers and agents report claims through it?

Yes. Notices from brokers, agents and garages are read from the emails, portals and messages they already use, matched to the policy, and merged with any report the customer made directly, so the claim is registered once.

How is each claim recorded?

Every run is logged with the channels read, the documents received, messages sent and the person who took over the file. Your claims and audit teams can see what was done on each claim and when.

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Send a screen recording or book a call. We build it, test it on your past work, and only switch it on when the results match your team's.