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    Claims Automation AI Services for Insurance

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    Sold by: MATOFFO 
    Our Claims Automation AI Service is a cutting-edge solution designed to streamline insurance claims handling through intelligent automation. It leverages natural language understanding, configurable business rules, and data aggregation to either fully automate simple claims or support faster decision-making for complex ones.

    Overview

    From First Notice of Loss (FNOL) to resolution, the engine handles unstructured data, supports human review, and enables scalable, accurate, and customer-friendly claims workflows — freeing adjusters to focus on the cases that truly need their expertise. Built by insurance domain experts, the solution integrates seamlessly into your existing ecosystem and adapts to your unique business rules and claim scenarios.

    How It Works Built on top of Matoffo AI accelerator and Matoffo AI Enablement & Acceleration Services current service accelerates decision making and improves quality of underwriting by taking advantage of latest AI developments and AWS capabilities. Matoffo provides value-driven iterative professional services, where our team understands your current needs, and helps to apply and introduce AI to claim processing, based on recent developments of GenAI, AWS and insurance.

    Target Customers Property & Casualty (P&C) Insurance Carriers MGAs and TPAs Health and Life Insurers Claims Processing Vendors Insurtech Platforms

    Use Cases Auto-adjudication of simple property or auto claims First Notice of Loss document parsing and triage Intelligent routing and workload prioritization for claims adjusters Supporting regulatory compliance and audit trails with consistent decisions Reducing average claim resolution time (cycle time) and operational costs

    Highlights

    • Automate Simple Claims — With our rule library Instantly process low-cost, low-risk claims like windshield damage, lost items, and minor property damage. AI-Driven Document Understanding — Extracts information from claim forms, PDFs, emails, and photos using advanced NLP and OCR.
    • Unified Decision View — Aggregates policy data, claim history, attachments, and third-party info into a single dashboard for complex claims. Configurable Rules Engine — Easily adapt thresholds, escalation paths, and processing logic with business-friendly rule configurations.
    • Human-in-the-Loop Workflow — Route edge cases to adjusters with all relevant context, improving both speed and quality of decisions. Secure & Compliant — Built on AWS infrastructure with enterprise-grade security, audit trails, and data protection.

    Details

    Delivery method

    Deployed on AWS

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    Pricing

    Custom pricing options

    Pricing is based on your specific requirements and eligibility. To get a custom quote for your needs, request a private offer.

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    Support

    Vendor support

    Together with Matoffo we offer 24/7 Support: round-the-clock customer support to address any issues or concerns that customers may encounter at any time. Our company will provide guidance on best practices to ensure customers are getting the most out of the product and making use of its features effectively. In case of troubleshooting, enabling services, requests of pricing policy, refunds do not hesitate to contact us on contact@matoffo.com , we will provide fast feedback and resolve problems with proper care and handling. For more contacts please check our website: