AI claims triage · carriers and TPAs
Claimwise reads the first notice of loss, pulls the policy, tests coverage, scores the fraud signals and routes the file to an adjuster with the right authority. Complex claims reach a human faster, not slower.
Voice call transcribed, loss details and third-party contact extracted.
Active, premium current, comprehensive with $500 deductible.
Loss date inside term. Vehicle listed. No exclusion triggered.
Third party shares an address with a claimant on file CL-71903.
Assigned to SIU-adjacent queue, adjuster M. Vance, with the link.
Claimwise does not decide claims. It prepares them, so the person who decides starts from a complete file instead of an empty one.
FNOL comes in by phone, portal, broker email, PDF and photo. Claimwise normalises all of it into one structured file.
Not a similarity score against other policies. The actual wording on this contract, this endorsement, this schedule.
Straightforward claims go down the fast lane. Anything with a signal goes to someone qualified to look at it, immediately.
Personal auto and light commercial, roughly 74,000 claims a year.
Every output carries its reasoning, its source and its confidence. Where confidence is low, Claimwise says so instead of rounding up.
Claimwise never approves, declines or pays. It assembles, tests and recommends. A named adjuster makes every determination and their name is on the file, not a model version number.
Give us a month you have already settled. Claimwise triages it blind and we compare its routing and reserve suggestions against what your team actually did.
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