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.
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.
Your senior reviewer has a mental model that took years to build. Newer reviewers approximate it. Checklists capture the rules but not the judgment.
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.
Increased cycle time means claims are open longer, policy holders get frustrated, and it becomes more difficult to maintain context for a claim.
"Every handoff is an interpretation. Every interpretation, a chance to drift. The cost compounds — into cycle time, rejections, and rework."
Start with audits or with claims handling. Run them side by side. Neither depends on the other.
Holds every file you receive to the carrier standard. Photos, estimate, GLR, and sketch reasoned together — surfaced for a human to sign off.
FNOL analysis, 7-day status summaries, document management, and XactAnalysis sync. The same standard, applied across the lifecycle.
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.
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.
If you handle three carriers with different guidelines, we map all three. Each file is reviewed against the right one — automatically.
"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 →
Pull claim data on intake. Run analysis against your guidelines. Push back an Action Plan as a claim note.
Scrape claim notes and activity. Summarize the week. Push back as a claim note.
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.
XactAnalysis ↔ CMS bidirectional sync. Assignments out, events and documents back. Closes the gap between systems your team runs in parallel.
Leverage these capabilities right in our platform or contact us to discuss a CMS integration.
Both QA Complete and our Claims Ops solutions are live in production today.
Stop spending unnecessary time manually combing through claim files.
Start seeing results in less than a month.
Ready to learn more? Book a time to talk with our sales team and learn how you can get started with Agentech AI.