Carriers

Simplify Claims Management

You are graded on leakage, cycle time, compliance, and consistency across a book handled by hundreds of people you don't manage — staff adjusters, IA firms, and TPAs. Agentech manages the full claim file against your exact guidelines and holds every file to the same bar, no matter who touched it. AI prepares the findings; your adjusters sign off on each one.

01 The Problem

One claim. Multiple handoffs.
No single source of truth.

The standard you're setting forth is being enforced by humans, in handoffs, with no shared version of the truth. The gap isn't effort — it's transfer.

— PAIN 01 01 / 03

The standard drifts.

Your senior reviewer has a mental model that took years to build. Newer reviewers approximate it. Checklists capture the rules but not the judgment.

— PAIN 02 02 / 03

Every handoff invites interpretation.

A reviewer flags a missing line item. The file goes back to the field adjuster. Two days pass — and it was already documented in the GLR. A loop that shouldn't have happened, multiplied across thousands of files.

— PAIN 03 03 / 03

Days turn into weeks.

Increased cycle time means claims are open longer, policy holders get frustrated, and it becomes more difficult to maintain context for a claim.

— STRATEGIC CALLOUT

"Every handoff is an interpretation. Every interpretation, a chance to drift. The cost compounds — into cycle time, rejections, and rework."

06Getting Started

Two starting points.
One standard across both.

Start with audits or with claims handling. Run them side by side. Neither depends on the other.

File review & audit · live in production

QA Complete

Holds every file you receive to the carrier standard. Photos, estimate, GLR, and sketch reasoned together — surfaced for a human to sign off.

  • Cross-document reasoning
  • Carrier-tier guidelines
  • Reviewer sign-off in-app
Learn about QA Complete →
Claim orchestration · live in production

Claims Ops

FNOL analysis, 7-day status summaries, document management, and XactAnalysis sync. The same standard, applied across the lifecycle.

  • FNOL analysis
  • Status summaries
  • Document handling
Learn about Claims Ops →
04QA Complete

What's different for carriers.
The product, on your files.

01

Full file, not just the estimate.

XactXpert and Validate by Cotality only review the estimate. Carriers reject for reasons outside it — missing photos, inconsistent sketches, scope mismatches with field notes. We catch those.

02

Your senior reviewer's judgment, captured.

Onboarding (3 weeks) codifies how your best reviewer actually reviews — not a generic ruleset someone else wrote. The standard scales without them in the room.

03

Carrier-specific, not carrier-generic.

If you handle three carriers with different guidelines, we map all three. Each file is reviewed against the right one — automatically.

— WORKED EXAMPLE

"Photo report shows interior water damage. Estimate has no line items. A checklist bounces the file. QA Complete reads the GLR, understands why it's excluded, and passes the file cleanly — the way your senior reviewer would."

"The AI surfaces. Your team decides."

See QA Complete →
Screenshot 2026-07-01 at 8.27.29 AM
— QAC · file review · what they see
05Claims Ops

Claims Ops for carriers.
Continuous oversight, native to your CMS.

01

At FNOL

LIVE
— on intake

Pull claim data on intake. Run analysis against your guidelines. Push back an Action Plan as a claim note.

02

Every 7 days

LIVE
— status summary

Scrape claim notes and activity. Summarize the week. Push back as a claim note.

03

On every document

LIVE
— webhook → tag

Webhook triggers categorization, renaming, tagging, and tasking. What we can't reliably handle lands in an Exception Queue for human resolution; resolutions feed back into the model.

04

Across systems

LIVE
— XactAnalysis ↔ CMS

XactAnalysis ↔ CMS bidirectional sync. Assignments out, events and documents back. Closes the gap between systems your team runs in parallel.

— In your CMS

Leverage these capabilities right in our platform or contact us to discuss a CMS integration.

Screenshot 2026-07-01 at 1.11.55 PM
05Live in production

Already delivering value to claims organizations

Both QA Complete and our Claims Ops solutions are live in production today.

— Time saved per file review
75%
From 60–75 min → under 15

Stop spending unnecessary time manually combing through claim files.

— Onboarding time
3wk
Live, configured to carrier

Start seeing results in less than a month.

CLAIMS OPS · IN PRODUCTION

"Implementing Agentech was a breeze. It just works."

QA COMPLETE · LIVE TODAY

Running across Carriers · IAs · TPAs · Restoration Companies.

08Book the call

Let's talk about
where to start.

Ready to learn more? Book a time to talk with our sales team and learn how you can get started with Agentech AI.

— Live in 3 weeks— QA Complete · in production— Claims Ops · in production