With a keen eye for detail, the Claimant Identification & Verification Agent validates the identity and eligibility of individuals submitting claims. This role is crucial in ensuring that only authorized claimants proceed through the claims process, thereby mitigating potential fraud risks.
Clyde is part of the Information Verification Agent Group Team and loves happy hour with ISO to compare notes and verify claimant history.
Monitor diverse claim submission sources- including APIs, email inboxes, IVR/call center logs, and online portals, to identify new claim submissions and ensure no claim is overlooked.
Convert all incoming data, structured or unstructured, into a standardized format (e.g., JSON) for seamless integration into the claims management system. No loss details, no messy data.
Log crucial metadata like source, timestamp, and attachments, creating a comprehensive, time-stamped record for every intake submission.
Generate a unique claim ID to distinctly identify each new claim within the system, establishing a clear and trackable reference point within the system. No duplicates, no confusion.
Auto-populate the initial claim file with verified intake data, including claimant information, incident details, and policy references, ensuring adjusters have a complete, structured case from the start.
Transfer critical documents, photos, and supporting evidence in the appropriate database or document management system for easy retrieval and compliance-ready recordkeeping.
