Claims Intake Automation
Digital claims intake around the clock: AI checks plausibility, analyzes documents, and automatically routes each case to the right handler.
What this blueprint solves
Insurance companies struggle with manual claims intake, long processing times, and growing fraud pressure. Claims arrive by email, form, and phone, are manually captured, and then slowly pushed through internal queues. This blueprint digitizes and automates the entire first-notice-of-loss process: from structured claims capture through AI-powered plausibility checks and document analysis to intelligent routing to the right adjuster.
The most expensive problems
Manual claims intake
Reports arriving by email, form, and phone are manually reviewed, re-entered into systems, and filed — error-prone and staff-intensive.
Long cycle times
Manual review steps and internal handoffs mean days pass before a claim reaches the right adjuster — customer satisfaction suffers.
Fraud risk
Without systematic plausibility checks at first notice, fraud signals are frequently caught late or not at all.
Document chaos
Photos, assessments, policy documents, and forms are scattered across emails and folders — no central, structured view per claim.
The Engine — how the workflow runs
Connected modules working together as one precise machine.
Digital claims capture
Guidewire ClaimCenterCustomers report claims via a structured self-service form or by email. All data is automatically transferred into Guidewire ClaimCenter and assigned to a case.
Document analysis
OCR / Document AIAttached photos, damage reports, and policy documents are automatically read, classified, and added to the case as structured fields — with no manual review.
AI plausibility check
DeepSeek LLMThe AI assesses the reported claim for plausibility, cross-checks it against policy terms, and flags patterns that indicate fraud or duplicate submissions.
Automatic routing
Make.comBased on claim type, severity, and complexity, the system automatically routes the case to the responsible adjuster or a specialist unit.
Digital confirmation
DocuSignThe policyholder immediately receives a structured acknowledgment with a case number, next steps, and — where needed — a document for digital signature.
Technology stack
The outcome
- Cycle time from report to assignment cut by 65%
- 24/7 claims intake with no queues or callback promises
- Fraud signals systematically identified and flagged at first notice
- Adjusters start with a complete, structured dossier instead of raw emails
Frequently asked questions
Which insurance lines and claim types are supported?↓
The blueprint is line-agnostic and can be configured for auto, household, liability, and commercial claims. Line-specific forms and validation rules are added during onboarding.
How long does implementation take?↓
A production-ready setup is typically live in 14 days. We integrate Guidewire ClaimCenter and existing email or portal intake channels via native APIs — GDPR-compliant and without changes to your core system.
How is data security ensured for sensitive claims data?↓
All data is transmitted encrypted and processed in compliance with GDPR. Access is role-based, and every action leaves an audit-proof trail in the system.
This blueprint live in 14 days.
We build it turnkey into your infrastructure — as a ready package or tailored to you.
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