ClaimAssist
Triage first-notice-of-loss submissions, extract key fields from adjuster notes, and route claims to the right desk.
Get FNOL off the fax pile and onto the right adjuster desk in minutes.
The problem
First notice of loss arrives as PDFs, emails, and portal uploads in inconsistent formats. Intake staff re-key the same fields, mis-route complex claims, and SLA clocks start before anyone has read the file.
Why teams choose ClaimAssist
ClaimAssist reads FNOL submissions and policy documents, extracts structured fields — loss date, peril, coverage limits, insured details — and classifies severity against your routing rules. It never approves payouts; it prepares clean intake packets for human adjusters.
Adjusters open their queue to organized cases instead of raw attachments. Supervisors see triage rationale and source citations. When a submission is ambiguous or high-severity, it lands in a human review queue with flags instead of slipping through silently.
Business outcomes
- •70% faster intake-to-assignment on standard property claims
- •Fewer mis-routed files and duplicate data entry
- •Policy-grounded answers with document citations for disputes
- •SLA dashboards by peril type and desk
Ideal for
P&C carriers, MGAs, and TPAs handling 500+ FNOL submissions per month who need intake speed without automating adjudication decisions.
How it works
We start with discovery to confirm fit, then provision your workspace, configure the template for your tier, and hand off access through the EdgeBridge client portal or licensed API. Custom builds follow a scoped milestone plan; licensed deployments can expand seats or move to enterprise as you scale.
Human oversight
Every automation ships with a clear off-switch and a human review path. Sensitive actions can be gated behind approval. Every action is written to an audit trail your team can inspect and export.
Security & data
Deployed on the cloud or private environment you specify, with per-license isolation. API keys are hashed and stored once. Chat logs are redacted by default. Your data is never used to train shared models. Enterprise plans include a signed DPA and can pin data residency.
Common questions
- What is ClaimAssist?
- ClaimAssist is an EdgeBridge AI agent built for insurance. Triage first-notice-of-loss submissions, extract key fields from adjuster notes, and route claims to the right desk. It is deployed into the cloud account you already run, hands off to a person when confidence is low, and records an audit trail of every automated decision.
- What problem does ClaimAssist solve?
- First notice of loss arrives as PDFs, emails, and portal uploads in inconsistent formats. Intake staff re-key the same fields, mis-route complex claims, and SLA clocks start before anyone has read the file.
- What results does ClaimAssist deliver?
- 70% faster intake-to-assignment on standard property claims; Fewer mis-routed files and duplicate data entry; Policy-grounded answers with document citations for disputes; and SLA dashboards by peril type and desk. Targets are agreed against your own baseline during discovery rather than quoted as generic benchmarks.
- Who is ClaimAssist for?
- P&C carriers, MGAs, and TPAs handling 500+ FNOL submissions per month who need intake speed without automating adjudication decisions.
- How much does ClaimAssist cost?
- ClaimAssist is quoted after a free 30-minute discovery call, because cost depends on integration surface, data volume, and approval requirements. You receive a fixed scope and price before any work begins.
- Where does ClaimAssist run, and who owns the data?
- EdgeBridge deploys ClaimAssist into your own AWS, Google Cloud, or Azure account, or onto private compute where data residency requires it. Your data never leaves your environment, and you own the configuration, records, and any custom code.
Interactive use case
Try a live workflow with realistic sample data. Production deployments are scoped and licensed to your environment.
ClaimAssist use case
Licensing
Start with a self-serve subscription and trial where available, or request a quote for custom scope. ClaimAssist is available as a per-seat license or enterprise agreement depending on your scale and compliance needs.
Custom build
Tailored to your stack, data, and workflows. Scoped after discovery and delivered as fixed-fee milestones or an ongoing retainer.
- • Your integrations and data sources
- • Custom models or rules where needed
- • Implementation + handover docs
- • Quoted after a discovery call
Per-seat license
License a production-ready workflow for named users. Scale seats as your team grows — pricing aligned to headcount and usage band.
- • Named users with role-based access
- • Standard support and updates
- • Usage caps agreed upfront
- • Add seats without re-implementation
Enterprise license
Organization-wide deployment with security review, SLA, and optional dedicated cloud or data residency.
- • Site or org-wide coverage
- • Signed DPA / BAA where required
- • Dedicated support channel
- • Custom SLA and audit requirements
Plans
Sign in and complete onboarding to start a trial — payment method required but no charge during the trial period.
Starter
Up to 5 seats · 2,500 msgs/mo band
- • 5 seats
- • 2,500 claims / mo
- • Policy doc uploads
- • Human review queue
Team
Up to 20 seats · 12,000 msgs/mo band
- • 20 seats
- • 12,000 claims / mo
- • Guidewire / Duck Creek hooks
- • SLA reporting