FNOL Triage
Every first notice of loss read, scored and routed to the right adjuster within the hour.
Why it matters
New claims arrive by phone, app, email and broker; they wait in a queue to be keyed and matched, so severe injuries and total losses reach the wrong desk or the right one a day late.
How the solution handles it
Five agents read the notice in any channel, match it to the policy in force, score severity, check fraud indicators and route the claim by skill, licence and caseload. A claims supervisor confirms each complex assignment; acknowledgement and survey clocks start at receipt.
How a claim moves
Five specialist agents read, match, score and route every new claim; a claims supervisor confirms each complex assignment.
What it reads, and what it hands back.
What goes in
- FNOL call notes and app forms
- Broker and agent emails
- Photos and police reports
- Policy and coverage records
What comes out
- Assigned, scored claim
- Acknowledgement letter draft
- Severity and fraud flags
- Regulatory clocks started
Who uses it
The difference, in numbers.
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
15-day rule
Sources: NAIC Model Regulation 902 (acknowledge within 15 days; varies by state) · IRDAI Master Circular on Protection of Policyholders’ Interests (2024) · “Target” = design goal, measured in the live solution
5 specialist agents. One person decides.
More in this division.
Every coverage question answered from the policy wording, with a cited letter drafted for counsel.
Reserve ReviewEvery open claim’s reserve tested against its file each quarter, with gaps explained before anyone asks.
Litigation ReviewEvery suit summarised and every legal bill checked against your guidelines before it is paid.
Build this
for your team.
We’ll show FNOL Triage running on your own documents.