See how the agent handles a car claim, a water damage case or detects potential fraud — multimodal photo + document analysis, LOOP™ decision.
The Insurance Claims Agent is a Claude agent that processes claim declarations: it analyses photos and supporting documents, checks the file for consistency, flags suspicious cases and prepares a proposed decision. Settlement is approved by a claims handler or adjuster, and every step of the process is logged under LOOP™ governance.
The agent works with claims handlers, adjusters and the fraud team. It takes on opening and processing files, which absorbs a lot of time on simple cases, and leaves the settlement decision to your teams. It connects to your policy and claims management system through the MCP protocol.
The claim and its supporting documents: photos, accident report, police report, quotes, invoices and correspondence with the policyholder. It also looks up the policy to check the cover, the claims history, and your settlement scales and rules. It works inside your claims system, under your permissions.
It analyses photos and documents together to assess the damage, checks that the claim is covered by the policy and that the documents are consistent with each other. It flags signals that deserve a closer look, such as dates that do not add up, a reused photo or an unusual amount, then prepares a reasoned settlement proposal.
A complete claim file: summary of the event, applicable cover, damage assessment, missing documents, points of attention and a proposed decision. The policyholder knows the claim is open and what is still needed, while the handler receives a file ready for a decision.
Opening the file, acknowledging receipt to the policyholder, checking cover, analysing documents and requesting missing items.
The settlement proposal and any refusal of cover. The agent sets out its reasoning, and the handler or adjuster approves before the decision is shared with the policyholder.
A serious fraud suspicion, a bodily injury claim or a file outside your usual rules. The agent passes it to the adjuster or the specialist team without drawing any conclusion.
Several vehicles are involved. The agent gathers the reports and photos, checks the cover under each policy and prepares the assessment the handler will approve.
A policyholder reports a leak in their flat. The agent analyses the photos and quotes, checks the cover and tells the policyholder which documents are still needed.
The elements of a file do not add up. The agent lists the inconsistencies precisely and passes the file to the adjuster, who decides whether to investigate.
The claim and its supporting documents: photos, accident report, police report, quotes, invoices and correspondence with the policyholder. It also looks up the policy to check the cover, the claims history, and your settlement scales and rules. It works inside your claims system, under your permissions.
It analyses photos and documents together to assess the damage, checks that the claim is covered by the policy and that the documents are consistent with each other. It flags signals that deserve a closer look, such as dates that do not add up, a reused photo or an unusual amount, then prepares a reasoned settlement proposal.
A complete claim file: summary of the event, applicable cover, damage assessment, missing documents, points of attention and a proposed decision. The policyholder knows the claim is open and what is still needed, while the handler receives a file ready for a decision.
Opening the file, acknowledging receipt to the policyholder, checking cover, analysing documents and requesting missing items.
The settlement proposal and any refusal of cover. The agent sets out its reasoning, and the handler or adjuster approves before the decision is shared with the policyholder.
A serious fraud suspicion, a bodily injury claim or a file outside your usual rules. The agent passes it to the adjuster or the specialist team without drawing any conclusion.
Deployed in production, the Insurance Claims Agent processes claims autonomously — photos, documents, fraud detection — with expert validation on complex cases.
30 minutes to validate feasibility on your processes. No slides, no pitch — a concrete conversation.