Insurance
Claims and underwriting — where ~40% of cycle time is rework and document gathering.
Use-case workflows
Where agents, orchestration, and human judgment remove the manual middle.
These workflows are not short on software. They are short on a durable owner for signals, exceptions, approvals, and evidence.
Industry workflows
document intake
Claims Validation (P&C)
Auto-validate coverage, policy match, document completeness. human review only when flagged.
Today
Reviewers gather forms, policy, medical or claim evidence, status notes, and payer/customer context by hand.
With SuperProcess
The case arrives with facts extracted, criteria checked, gaps identified, and the next decision clear.
01 · Read
Agents extract the facts.
Agents extract dates, codes, coverage facts, missing evidence, and policy criteria with citations.
02 · Check
The workflow applies rules and waits.
The workflow waits across document collection, payer responses, callbacks, and review queues.
03 · Review
People decide exceptions.
The reviewer handles coverage, clinical, or exception judgment with the evidence already assembled.
classification
First Notice of Loss (FNOL)
Intake triage, severity classification, next-step routing. Hours → minutes.
Today
Reviewers gather forms, policy, medical or claim evidence, status notes, and payer/customer context by hand.
With SuperProcess
The case arrives with facts extracted, criteria checked, gaps identified, and the next decision clear.
01 · Read
Agents extract the facts.
Agents extract dates, codes, coverage facts, missing evidence, and policy criteria with citations.
02 · Check
The workflow applies rules and waits.
The workflow waits across document collection, payer responses, callbacks, and review queues.
03 · Review
People decide exceptions.
The reviewer handles coverage, clinical, or exception judgment with the evidence already assembled.
risk triage
Fraud Investigation
Evidence correlation across policy, claims history, external sources.
Today
Investigators open many false positives and reconstruct the story from transactions, names, accounts, and prior alerts.
With SuperProcess
The queue separates likely clears from cases that need investigator judgment.
01 · Correlate
Agents build the risk story.
Agents build the alert story across transactions, entities, history, lists, and supporting evidence.
02 · Triage
The workflow applies policy and thresholds.
The workflow applies thresholds, waits for missing evidence, and keeps case actions auditable.
03 · Decide
Reviewers handle the material cases.
Investigators decide clear, escalate, file, or monitor from an explained packet.
risk triage
Commercial Underwriting
Document extraction, risk modeling, policy comparison, human review on complex risks.
Today
Insurance teams reviews broad signal streams and reconstructs the case manually before deciding what matters.
With SuperProcess
Low-risk items clear faster; high-risk cases arrive as evidence-backed review packets.
01 · Correlate
Agents build the risk story.
Agents collect Policy admin, Claims system, and Document intake and explain the risk drivers.
02 · Triage
The workflow applies policy and thresholds.
The workflow applies thresholds, pauses for missing evidence, and keeps decisions auditable.
03 · Decide
Reviewers handle the material cases.
The reviewer decides clear, escalate, assign, or monitor from one packet.
case resolution
Appeals Review
Policy re-examination, communication drafting, audit-trail ready for regulatory review.
Today
Reviewers gather forms, policy, medical or claim evidence, status notes, and payer/customer context by hand.
With SuperProcess
The case arrives with facts extracted, criteria checked, gaps identified, and the next decision clear.
01 · Read
Agents extract the facts.
Agents extract dates, codes, coverage facts, missing evidence, and policy criteria with citations.
02 · Check
The workflow applies rules and waits.
The workflow waits across document collection, payer responses, callbacks, and review queues.
03 · Review
People decide exceptions.
The reviewer handles coverage, clinical, or exception judgment with the evidence already assembled.
reconciliation
Reinsurance Settlements
Multi-party reconciliation, contract interpretation, payment authorization with human review.
Today
Insurance teams compares records across systems, explains mismatches, and chases owners before anything can close.
With SuperProcess
Matched items move through; real variances become a clear resolution queue.
01 · Match
Agents reconcile the source records.
They compare Policy admin, Claims system, and Document intake and cite the exact records behind each match or variance.
02 · Hold
The workflow waits where finance work waits.
Missing files, approvals, payment holds, and close checkpoints stay durable instead of becoming inbox follow-up.
03 · Resolve
Owners clear only the exceptions.
The resolution packet includes reason, source evidence, suggested action, and writeback target.
Ready to scope one of these for your operation?
We shadow your ops, scope the process, blueprint it, pilot it, and ship it to production. Typically 6–12 weeks to first production value.
Talk to us →