Automate Claims Triage and Routing

Incoming claims vary greatly in complexity and urgency. Efficiently routing claims to the right adjuster or specialized unit (e.g., SIU, litigation, large loss) is crucial for effective handling. LLMs can analyze initial claim information (including unstructured descriptions) to assess complexity, estimate potential severity, identify potential fraud flags, and automatically route the claim to the appropriate queue or individual based on predefined rules and workload balancing.