Claim-to-Settlement
Claim filed. Faster settlements. with agents, systems, and approvals wired into one flow.
How Claim-to-Settlement actually runs
Three deployment patterns, two demo businesses. fully populated Trigger → Context → Controller → Agent → Action → Approval → Dashboard.
Fully autonomous claim-to-settlement. agent runs end-to-end inside policy. Humans see the dashboard, not the work.
- Trigger
Claim filed arrives in claims system at Coastal Realty.
- Context
Controller pulls live context from Claims system + Document store. customer record, history, entitlements, balances, and current SLA state.
- Controller
Claims Triage Agent classifies the case, picks the right play from the policy library, and dispatches the work.
- Agent
Specialist agents (Claims Triage Agent, Document Agent, Fraud Check Agent) execute in parallel. extracting fields, calling APIs, drafting responses, and writing back to claims system.
- Action
Agent triages, requests missing docs, runs fraud checks, and proposes a settlement amount.
- Approval
Anything over the settlement amount threshold pauses with a one-click approval card to the named human owner. everything else ships autonomously.
- Dashboard
Operators at Coastal Realty watch a live board: volume, cycle time, exception rate, value captured, and per-agent confidence. drillable to the underlying ledger.
Systems, agents & approvals
- Claims Triage Agent
- Document Agent
- Fraud Check Agent
- Settlement Agent
- Claims system
- Document store
- Payment
- Settlement amount
What Claim-to-Settlement returns to the business
Run Claim-to-Settlement as an agent, not as a backlog.
We map the trigger, wire the systems, ship the agents, and put the dashboard on your wall. in four weeks.