[{"data":1,"prerenderedAt":249},["ShallowReactive",2],{"uc-hub-function-claims":3},{"type":4,"typeLabel":5,"term":6,"includeUnpublished":10,"indexable":11,"stats":12,"useCases":23,"benchmarks":191,"topIndustries":192,"topFunctions":207,"topPatterns":208,"stageMix":226,"regionMix":238,"organizations":248,"other":165},"function","Business function",{"id":7,"label":8,"description":9},"claims","Claims","First notice of loss, assessment, settlement and recovery of insurance claims.",false,true,{"useCases":13,"publicDeployments":14,"blitsAiDeployments":15,"organizations":16,"countries":17,"outcomeDisclosureRate":18,"gradeMix":19},8,26,1,25,13,50,{"A":20,"B":21,"C":22,"D":20},0,10,16,[24,59,81,105,132,149,166,179],{"slug":25,"title":26,"shortTitle":27,"definition":28,"status":29,"industries":30,"functions":32,"patterns":34,"audience":39,"autonomy":40,"adoptionStage":41,"segment":7,"evidenceCount":42,"publicEvidenceCount":42,"organizations":43,"bestGrade":49,"headline":50,"lastVerified":58,"indexable":11},"claims-first-notice-of-loss-agent","AI agent for first notice of loss claims intake","First notice of loss agent","An AI agent that takes the first notice of loss from a policyholder by phone, chat or app, identifies the policy, collects the facts of the incident and the evidence the claim type needs, opens the claim in the claims system and tells the customer what happens next, handing complex, injured or vulnerable claimants to a human handler.","published",[31],"insurance",[7,33],"customer-service",[35,36,37,38],"conversational-agent","voice-agent","agentic-workflow","document-processing","customer-facing","supervised-agent","early-adopters",5,[44,45,46,47,48],"DOMCURA","Hippo","Lemonade","Progressive","Travelers","B",{"kpi":51,"label":52,"unit":53,"n":15,"nUpTo":20,"kind":54,"value":55,"qualifier":56,"claimant":57,"organization":44,"vendorReported":11},"accuracy","Accuracy","percent","reported",90,"exact","vendor","2026-09-27",{"slug":60,"title":61,"shortTitle":62,"definition":63,"status":29,"industries":64,"functions":66,"patterns":67,"audience":39,"autonomy":40,"adoptionStage":69,"segment":7,"evidenceCount":70,"publicEvidenceCount":71,"organizations":72,"bestGrade":49,"headline":75,"lastVerified":58,"indexable":11},"travel-insurance-claims-and-assistance-agent","AI agent for travel insurance claims and assistance","Travel insurance claims and assistance","An AI agent that helps insured travellers around the clock and in their own language: it answers cover questions, takes claims for delays, cancellations, lost baggage and medical costs, reads the receipts and certificates they upload, settles simple claims within set limits, and connects medical emergencies and complex cases to the assistance team at once.",[31,65],"travel-and-hospitality",[7,33],[35,36,38,37,68],"translation","emerging",3,2,[73,74],"Allianz Partners","General Insurance Association of Singapore",{"kpi":76,"label":77,"unit":53,"n":20,"nUpTo":15,"kind":54,"value":78,"qualifier":79,"claimant":80,"organization":73,"vendorReported":10},"automation-rate","Automation rate",70,"up-to","organization",{"slug":82,"title":83,"shortTitle":84,"definition":85,"status":29,"industries":86,"functions":87,"patterns":89,"audience":93,"autonomy":40,"adoptionStage":41,"segment":7,"evidenceCount":94,"publicEvidenceCount":95,"organizations":96,"bestGrade":49,"headline":101,"lastVerified":104,"indexable":11},"claims-triage-and-straight-through-processing","AI for claims triage and straight through processing","Claims triage and STP","AI that reads each new insurance claim and its documents, scores its complexity, cover questions, fraud and recovery signals, sends it to the right handling path and handler, and settles simple, low risk claims end to end within set limits without a person touching them.",[31],[7,88],"operations",[90,91,38,37,92],"classification-and-routing","prediction-and-scoring","summarization","back-office",9,7,[97,73,98,46,99,100,48],"Admiral Seguros","Hiscox","Sedgwick","Tokio Marine & Nichido Fire Insurance",{"kpi":76,"label":77,"unit":53,"n":15,"nUpTo":15,"kind":54,"value":102,"qualifier":103,"claimant":80,"organization":46,"vendorReported":10},55,"approximately","2026-09-26",{"slug":106,"title":107,"shortTitle":108,"definition":109,"status":29,"industries":110,"functions":116,"patterns":119,"audience":122,"autonomy":123,"adoptionStage":41,"segment":93,"evidenceCount":42,"publicEvidenceCount":42,"organizations":124,"bestGrade":49,"headline":128,"lastVerified":104,"indexable":11},"outbound-notice-drafting","AI for drafting customer letters and outbound notices","Outbound notice drafting","AI that drafts the letters and notices operations must send at scale, such as arrears notices, decline letters, complaint responses, servicing confirmations and product change notices, from case data and approved templates and clauses, in the customer's language, for a person to approve where the notice is regulated.",[111,112,31,113,114,115],"cross-industry","banking","government","healthcare","wealth-and-asset-management",[88,33,117,118,7],"collections-and-recovery","regulatory-compliance",[120,121,68],"content-generation","rag-knowledge-assistant","employee-facing","copilot",[125,98,126,127],"Acentra Health","Health Resources and Services Administration","SS&C Technologies",{"kpi":129,"label":130,"unit":53,"n":15,"nUpTo":20,"kind":54,"value":16,"qualifier":56,"claimant":57,"organization":131,"vendorReported":11},"processing-time-reduction","Cycle time reduction","SS&C GIDS and RS",{"slug":133,"title":134,"shortTitle":135,"definition":136,"status":29,"industries":137,"functions":138,"patterns":140,"audience":122,"autonomy":123,"adoptionStage":41,"segment":7,"evidenceCount":42,"publicEvidenceCount":42,"organizations":141,"bestGrade":49,"headline":146,"lastVerified":58,"indexable":11},"health-prior-authorization-and-claims-adjudication","AI for health insurance prior authorization and claims adjudication support","Health prior authorization and adjudication","AI that reads prior authorization requests, medical claims and appeals with their clinical and billing documents, extracts diagnoses, treatments and costs, checks them against the policy and published clinical criteria, and prepares a summary and recommendation for a clinician or adjudicator, who makes every adverse decision.",[31,114],[7,139,88],"case-management",[38,92,121,90,120],[125,142,143,144,145],"AdvanceCare","Centers for Medicare and Medicaid Services","ICICI Lombard","Manulife",{"kpi":147,"label":148,"unit":53,"n":71,"nUpTo":20,"kind":54,"value":18,"qualifier":103,"claimant":57,"organization":125,"vendorReported":11},"handling-time-reduction","Handling time reduction",{"slug":150,"title":151,"shortTitle":152,"definition":153,"status":29,"industries":154,"functions":155,"patterns":157,"audience":93,"autonomy":160,"adoptionStage":161,"segment":7,"evidenceCount":42,"publicEvidenceCount":42,"organizations":162,"bestGrade":49,"headline":165,"lastVerified":58,"indexable":11},"claims-fraud-detection","AI for insurance claims fraud detection","Claims fraud detection","AI that scores every insurance claim for fraud from first notice of loss onwards, combining claim, policy, document, image and network data to find suspicious claims, organised rings and inflated losses, and sends each alert with its reasons to a claims handler or special investigations unit for review.",[31],[7,156],"fraud-prevention",[158,91,38,159,90],"anomaly-detection","computer-vision","assist","mainstream",[163,164,74,46,100],"Assurant","AXA Switzerland",null,{"slug":167,"title":168,"shortTitle":169,"definition":170,"status":29,"industries":171,"functions":172,"patterns":173,"audience":39,"autonomy":40,"adoptionStage":41,"segment":7,"evidenceCount":42,"publicEvidenceCount":42,"organizations":174,"bestGrade":178,"headline":165,"lastVerified":58,"indexable":11},"photo-based-damage-assessment","AI for photo based damage assessment in insurance claims","Photo damage assessment","Computer vision that assesses damage from photos or video of a vehicle or property taken by the policyholder, a repairer or an adjuster, identifies the damaged parts and the repair or replace decision, produces or checks the repair estimate, and flags total losses and inconsistencies for a person to review.",[31],[7],[159,91,37],[97,175,176,177,100],"Covéa","Foyer","PZU","C",{"slug":180,"title":181,"shortTitle":182,"definition":183,"status":29,"industries":184,"functions":185,"patterns":186,"audience":93,"autonomy":160,"adoptionStage":41,"segment":7,"evidenceCount":187,"publicEvidenceCount":71,"organizations":188,"bestGrade":49,"headline":165,"lastVerified":58,"indexable":11},"subrogation-opportunity-detection","AI for subrogation opportunity detection","Subrogation detection","AI that reads open and closed claims to find cases where a third party is wholly or partly liable, estimates liability and the recoverable amount under the applicable negligence and recovery rules, and sends scored recovery opportunities with their reasons to the subrogation team.",[31],[7,117],[90,91,38,92],4,[189,190],"Central Insurance","Elephant Insurance",[],[193,195,197,199,201,203,205],{"id":31,"label":194,"count":13},"Insurance",{"id":114,"label":196,"count":71},"Healthcare",{"id":112,"label":198,"count":15},"Banking",{"id":111,"label":200,"count":15},"Cross industry",{"id":113,"label":202,"count":15},"Government and public sector",{"id":65,"label":204,"count":15},"Travel and hospitality",{"id":115,"label":206,"count":15},"Wealth and asset management",[],[209,212,214,216,218,220,222,224],{"id":38,"label":210,"count":211},"Document processing",6,{"id":37,"label":213,"count":187},"Agentic workflow",{"id":90,"label":215,"count":187},"Classification and routing",{"id":91,"label":217,"count":187},"Prediction and scoring",{"id":92,"label":219,"count":70},"Summarization",{"id":159,"label":221,"count":71},"Computer vision",{"id":120,"label":223,"count":71},"Content generation",{"id":35,"label":225,"count":71},"Conversational agent",[227,229,231,234,236],{"stage":228,"count":15},"announced",{"stage":230,"count":15},"pilot",{"stage":232,"count":233},"production",19,{"stage":235,"count":42},"scaled",{"stage":237,"count":20},"paused",[239,242,244,246],{"region":240,"count":241},"north-america",12,{"region":243,"count":94},"europe",{"region":245,"count":70},"asia-pacific",{"region":247,"count":71},"global",[164,125,97,142,73,163,143,189,175,44,190,176,74,126,45,98,144,46,145,177,47,127,99,100,48],1790598324784]