This describes a consulting engagement for a mid-size property-and-casualty carrier. The carrier is not named. The agent was deployed in their claims environment; this page stays at the architecture level.
Overview
When a policyholder reports a loss—by phone, web, mobile app, email, or voice—first notice of loss (FNOL) captures what the customer knows at that moment. What an adjuster needs next is different: whether the loss is likely covered, which policy forms matter, and what evidence is still missing. That first pass used to be assembled by hand.
We architected an Investigation Support agent so the legwork runs after FNOL. Adjusters start from an organized, cited package instead of a blank screen. The agent recommends; it does not deny claims or auto-close them.
Intake channels and governed policy forms feed the agent. The output is an adjuster-ready package.
The full write-up is From First Notice to First Answers.