Insurance & FinanceSimple automationOne job done end to end in a single path: a trigger, then a short fixed sequence of actions across 2–3 apps (a reminder flow, form to CRM, a scheduled report). Simple automations are usually live within days.

Automated claims intake and triage

For: Regional insurance brokerage

Typical impact

−40% intake time

Claims arriving by email and WhatsApp are read automatically, sorted by type and urgency, and routed to the right handler — so urgent cases surface immediately.

Typical results

Under 5 min

for urgent claims to reach an adjuster

100%

of claims classified automatically

24/7

intake across email and WhatsApp

Figures reflect typical results for this kind of automation.

The challenge

Claims came in through several channels and were logged by hand, which slowed first response and made it hard to spot the urgent ones.

Before and after

Before With the automation

Intake time per claim

−40%
25 min
15 min

Urgent claim to adjuster

−97%
180 min
5 min

Claims logged by hand

−100%
100%
0%

The automation

Every incoming claim is now collected automatically, an AI step classifies it by line of business and severity, and a record is created in the CRM with the right adjuster notified.

How it works

  1. 01

    Claim arrives

    A claim comes in by email or WhatsApp and is collected automatically — no manual logging.

  2. 02

    AI triage

    An AI step classifies the claim by line of business and severity.

  3. 03

    CRM record created

    A structured claim record is created in the CRM with every detail attached.

  4. 04

    Routed to the right handler

    The matching adjuster is notified immediately, based on claim type.

  5. 05

    Urgent cases surface first

    High-severity claims are flagged to the top, so they reach an adjuster within minutes instead of hours.

Starts from

  • Email
  • WhatsApp

Delivers

  • CRM
  • Adjuster alert

The impact

Intake time dropped by about 40%, and urgent claims now reach an adjuster within minutes instead of hours.

Questions about this automation

How does the AI decide how urgent a claim is?

The AI step reads the claim text and any attachments and classifies it by line of business and severity, using rules the brokerage defines, such as injury, total loss or a claim amount above a set threshold. High-severity claims go to the top of the queue and trigger an immediate adjuster alert.

Which intake channels can it collect claims from?

The flow watches the claims email inbox and the brokerage's WhatsApp number, and further channels such as a web form can be added. Each claim becomes one structured CRM record with the original message and files attached, so nothing has to be logged by hand.

What if a claim doesn't fit any category?

Claims the AI can't classify with confidence are marked for manual review instead of being routed on a guess. A claims handler picks them up from a dedicated queue and sets the category, and the record then continues through the normal routing, so unusual claims are never lost.

Insurance & Finance

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