AI Voice Agents for Claims Processing

Policyholder involved in car accident needs to file a claim immediately.

"AI guides through the process: "I'm sorry to hear about your accident. Let me help you file your claim right away. First, is everyone safe and has medical attention been provided? Good. Let me guide you through the process: I've started your claim - reference number AC-2024-78543. For an auto accident claim, I need: Photos of the damage (you can upload them now or within 24 hours), the other driver's information (name, insurance, license plate), police report number if filed, and a brief description of what happened. I see you've uploaded 4 photos - great quality, I can clearly see the damage to your front bumper and hood. Based on the photos and your description, I've categorized this as a collision claim under your comprehensive coverage. Your $500 deductible will apply. What happens next: A claims adjuster will review within 24 hours. We'll contact you to schedule an inspection or approve a repair shop. Typical processing for claims like this: 5-7 business days. Would you like me to send you a list of our approved repair shops near your location?""

Claimant wants to check status of a claim submitted last week.

"AI provides detailed update: "I found your claim - reference HO-2024-45621 filed on January 8th for water damage to your home. Here's the current status: Your claim is in the 'Under Review' stage (step 3 of 5). Completed steps: Initial submission received and validated, documentation review passed - all required documents received, and adjuster assignment completed. Current activity: Field adjuster Mike Thompson is scheduled to visit your property tomorrow between 2-4 PM to assess the damage. Please ensure someone over 18 is present. He'll take measurements and photos to complete the damage assessment. Estimated timeline: Assessment tomorrow, adjuster report within 2 business days, settlement offer within 5 business days of report completion. You're on track for resolution by January 22nd. Coverage reminder: Your policy covers water damage from burst pipes with a $1,000 deductible. Based on your initial estimate of $8,500 in damage, you could receive approximately $7,500. Anything else you'd like to know about your claim?""

Claimant needs to submit additional documents requested by the adjuster.

"AI handles document upload: "I see the adjuster requested additional documentation for your claim WC-2024-12345. Let me help you submit those. Documents requested: Medical bills from your treatment (received January 5-10), employer verification of missed work days, and prescription receipts. You can upload these now - I accept photos, PDFs, or scans. Let me check what you've uploaded: Medical bills - I see 3 files uploaded. I've extracted the key information: Provider ABC Medical Center, dates January 5-10, total charges $2,340. This looks complete. Employer verification - uploaded. I found the letterhead and signature. Dates verified: January 6-15, 8 work days missed. Prescription receipts - uploaded. 2 prescriptions totaling $156. All requested documents are now attached to your claim. I've notified the adjuster that your submission is complete. Based on typical processing, you should hear back within 2-3 business days. Your claim is now 85% complete. Would you like me to send you a confirmation email with copies of everything you submitted?""