Banking and insurance · Branches and service desks

Claims assistant

Step-by-step guidance on documents and rules for each claim type, from your latest policy wording.

  • Desktop
  • Phone
  • Works offline
Desktop assistantOn this device · no internet needed

What’s needed for a cashless hospital claim?

The policy card, photo ID and the hospital’s pre-authorisation form, sent before admission where possible.

What do I need for a crop insurance claim?

Policy number, land record, photos of the damage and a bank account for payment.

Is dental treatment covered on this plan?

Only after an accident, per the exclusions in section 6. Routine dental care is not covered.

Example conversation

The problem

Every claim type has its own documents and rules, and incomplete claims bounce back and forth with the customer. Policy wordings change, and staff can’t keep track of every version. Customers wait longer and complain.

Who uses it

Claims handlers, service desk staff and agents capturing claims in the field.

What you train it on

  • Policy wordings by version
  • Claims procedures
  • Document checklists
  • Exclusion lists

How it works on the device

  1. 1

    Trained on your policy wordings

    Claim rules, document lists and exclusions for each product and version.

  2. 2

    Guidance per claim type

    Staff ask what a claim needs and get the list and the rules that apply.

  3. 3

    Current wording only

    New policy versions reach every desk, and older policies still get their own rules.

Why it runs on the device

  • Complete claims first time

    The right documents are requested up front.

  • Right version of the rules

    Answers match the customer’s policy version.

  • Works in the field too

    Agents capture claims with no signal.

Questions

All use cases

Put AI where your work happens.

Pick one team and one use case. We’ll have it running on your own devices in weeks.

Not sure if RageEdge AI is what you need?

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