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AI Agent · Claims

Meet your AI Agent for Claim Indexing.

Documents pour in from email, mailrooms, brokers, and partners. The Claim Indexing AI Agent reads every page, classifies it, captures every claim-tying field (type, subtype, claimant, claim and policy numbers), and routes it to the right adjuster — so the file arrives ready to work, not ready to sort.

Trusted by leading P&C carriers, brokers, and TPAs
How your AI Workforce works

From inbox to indexed in minutes, not days.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Picking up documents
Claim #WC-2026-04719
14 documents classified, split, and routed
AUTO-INDEXED
 
SOURCE
Email + mailroom
PAGES
247
INDEXED IN
38 sec
Demand_Letter.pdf
LEGAL · First Notice of Demand
0.98
Medical_Narrative_DrPatel.pdf
MEDICAL · Narrative Report
0.97
NoR_Wexler.pdf
LEGAL · Notice of Representation
0.92
Classifying with InsurGPT
 
 
 
 
 
 
 
Triangulating across files
 
Routed to senior adjuster · 1 exception flagged for review
Guidewire
File routed
Salesforce
Record updated
Duck Creek
File delivered
Adjuster queue
Exception assigned
Routing to systems
Where your work begins
Picks up from email inboxes, mailroom scans, SFTP drops, broker portals
Triggers the moment a document lands — no delay, no batch
Runs inside your existing tools — no new system for the team
Read, classify, extract
Identifies document type, subtype, and description for every file
Extracts claimant, claim number, policy number, and date of loss
60+ insurance-specific categories, every call with a confidence score
Compare and analyze
Cross-checks claim-tying fields across every document in the packet
Flags duplicates and missing pieces before they cause delays
Triangulates documents that arrive separately over days or weeks
Recommend and act
High-confidence files route to the right adjuster, team, or queue
Low-confidence files surface for review with X-Ray Mode highlighting
Files land in Guidewire, Salesforce, or Duck Creek — ready for the decision
What It Does

Claims Indexing AI Agent

Capture every indexing data point — document type, subtype, description, claimant, claim and policy numbers, and date of loss.
Run classification, splitting, extraction, and triangulation in parallel — not in sequence.
Query your claims system to fill missing data — or request it per your guidelines.
Defensible by design with X-Ray Mode — every classification traceable to the source page, audit-ready for compliance reviews and bad-faith defense.
Customize the 60+ document categories — add, rename, or modify any time, no re-training.
Feed every downstream system — medical bill review, payments, subrogation, and fraud detection, running 24/7 through nights, weekends, and CAT season.
THE ENGINE INSIDE

Most AI classifies generic documents.
InsurGPT™ knows insurance.

Trained on 300M+ insurance documents, it identifies a 626 Letter, an Xactimate Final Report, or a Civil Remedy Notice — distinctions general-purpose AI can't make.

Trained on insurance, not the internet

The Claim Indexing AI Agent is powered by InsurGPT™, Bevaya's mosaic of specialized models trained on 300M+ real insurance documents. It doesn't just recognize that a page is a letter — it recognizes that it's a 626 Letter under Florida statute. General-purpose AI can't do this. It wasn't built for it.

60+ Insurance-Specific Categories | Specialized

Production deployments classify over 60 distinct P&C document types — 626 Letters, CRN filings, Xactimate reports, ISO Search, Sworn Proof of Loss, SIU information — each with insurance logic a general model would need extensive custom training to approximate.

Statute-Aware Recognition | Jurisdictional

Knows the difference between an Xactimate Final Report and an interim XA Document. Distinguishes a Civil Remedy Notice from a carrier's response. Reads the document the way an adjuster reads it.

300M+ Document Corpus | Deep-trained

Trained on hundreds of millions of real P&C documents across carriers, lines, and jurisdictions — not scraped web text. The vocabulary, the layouts, and the edge cases are already in the model.

Confidence you can route on

Every classification ships with a confidence score, so the system knows what it knows — and what it doesn't. High-confidence items route automatically. Low-confidence items go to expert reviewers — who see exactly where the AI got its call from. No black boxes.

Auto-Route the Easy Ones | Hands-off

High-confidence classifications skip the review queue entirely and post straight to the claims system. The 80% of files that are unambiguous never touch a human hand.

Escalate the Edge Cases | Surfaced

Low-confidence items are flagged and routed to expert reviewers with the document, the predicted category, and the runner-up — so the call takes seconds, not a re-read.

Show the Work | Transparent

Every routing decision exposes which features drove the classification and which document regions the model attended to. Auditable by design, not after the fact.

Compounds with every correction

The system gets sharper the longer it runs. Every correction by your reviewers feeds back into the model — accuracy climbs, exceptions drop, and the share of files cleared without review keeps rising over the first three months in production.

Reviewer Feedback Loop | Self-tuning

When a reviewer overrides a classification, that correction becomes training signal. The model that misclassified a 626 Letter on Monday won't miss the same one on Friday.

Three-Month Ramp | Compounding

Production deployments hit 90%+ auto-routing within roughly three months. The accuracy curve isn't a guess — it's the observed pattern across live carrier rollouts.

Drift-Resistant Performance | Durable

New document templates, new carriers, and new statutes get absorbed without retraining from scratch. The mosaic architecture isolates change instead of propagating it.

 
Target KPIs

Higher accuracy. Hands-off routing. Faster decisions. Real ROI.

Classification accuracy across 60+ document categories
98%+
Files auto-routed to your claims system without manual review (after 3 months in production)
90%+
Faster from inbox to the adjuster's queue, ready to decide
90%
Annual cost avoided on indexing and classification for a US P&C carrier
$1.3M
Bevaya — Case Studies Module

Bevaya’s AI agents reduced our claims indexing from 5 days to under an hour. The accuracy was better than our most experienced staff on day one.

Harry Talbert

Harry Talbert SVP of Information Systems · Eastern Alliance

Read the full story

99% straight-through processing and 246% ROI in just 6 months.

F5

Fortune 500 Carrier Property & Casualty

Read the full story

We evaluated six AI vendors. Bevaya was the only one that understood our underwriting workflows from day one — no six-month education period.

CU

Chief Underwriting Officer Specialty Carrier · $2B+ GDP

Read the full story

The confidence scoring changed everything. Our reviewers know exactly which items need attention and which can go straight through. We trust it.

DO

Director of Operations Workers’ Compensation Insurer · 74 NSP

Read the full story

Cut COI turnaround from 24 hours to minutes and saved millions.

T5

Top-5 Broker National

Read the full story
How it works

An AI layer that sits on top of your existing stack.

Bevaya orchestrates the tools your team already uses. Your stack stays in place. The intelligence layer over it.

01 Sources
Microsoft Outlook
Mailroom / SFTP
Custom API / IPA
02 Bevaya Platform
Bevaya

Bevaya

Intelligence + orchestration layer for insurance workflows

03 Destinations
Systems of record
Guidewire ClaimCenter
Salesforce Industries
Duck Creek Claims
Document management
Alerts
Slack
Microsoft Teams
MORE AI AGENTS FOR CLAIMS

Your AI Workforce, across the claims lifecycle

Underwriting Automation Overview

End-to-end automation across the underwriting lifecycle — from submission intake through quote, bind, and renewal.

Underwriting

Submission Intake

Monitors broker inboxes, classifies submissions, extracts data from ACORDs and supplementals, and populates underwriting systems automatically.

Underwriting

Loss Run Processing

Extracts and normalizes loss data across carriers, identifies trends, and produces structured loss histories ready for underwriting review.

Underwriting

Schedules & SOV Extraction

Reads Statement of Values spreadsheets and property schedules in any format, normalizes the data, and delivers clean structured exposure data.

Underwriting

ACORD Form Extraction

Extracts data from all ACORD forms, validates fields against carrier rules, and pushes clean structured data into underwriting systems.

Underwriting

Policy Renewal Handling

Pulls expiring policy data, refreshes exposures and loss runs, and assembles a complete renewal package for the underwriter.

Underwriting

Policy to Policy Comparison

Compares expiring and renewal policy terms, flags coverage and limit changes, and surfaces material differences for underwriter review.

Underwriting

Claims Automation Overview

End-to-end automation across the claims lifecycle — from FNOL through investigation, settlement, and payment.

Claims

FNOL / FROI Setup

Captures first notice of loss and first report of injury details from email, phone, or portal, structures the data, creates the claim file, and assigns it to the right adjuster.

Claims

Claim to Policy Comparison

Compares loss details against policy terms to surface coverage, exclusions, and obligations before the adjuster makes a call.

Claims

Claim Indexing

Classifies, indexes, and routes claims documents to the right adjuster or team. Handles hundreds of document categories with up to 99% STP.

Claims

Legal Demands Identification & Extraction

Reads demand letters and legal correspondence, extracts allegations, damages, and deadlines, and routes them with full context to the claims team.

Claims

Medical Bill Identification & Extraction

Reads medical bills and provider records, extracts CPT/ICD codes, charges, and dates of service, and links them to the claim for adjuster review.

Claims

Invoice Payment Processing

Processes vendor and provider invoices against claim files, validates against authorized services, and routes for payment approval automatically.

Claims

Claim File Summarization

Reads complex claim files and produces role-specific summaries. Key details, timelines, and action items surfaced for the adjuster.

Claims

Policy Servicing Automation Overview

End-to-end automation across policy servicing — from endorsements and certificates through billing inquiries and audits.

Policy Servicing

Endorsement Processing

Reads endorsement requests, validates against the policy, drafts the change, and routes it for approval and issuance.

Policy Servicing

COI Creation

Generates Certificates of Insurance from policy data, validates additional insured language, and delivers certificates to brokers and insureds automatically.

Policy Servicing

Premium Audit Processing

Classifies audit documents, extracts payroll and classification data, populates systems, and requests missing information from policyholders.

Policy Servicing
Custom AI Agents

Don't see the AI Agent you need?

Bevaya's platform extends to fit your operation. We can build a custom AI Agent for your specific underwriting workflow — trained on Bevaya's insurance-native AI and integrated with your systems.

GET STARTED

Ready to design, deploy, and govern your AI workforce? 

Resources & insights

More on Claims AI

Case Study - claims
Research

Page stream segmentation with LLMs

How Bevaya Labs approaches a foundational problem in insurance document AI.

Case Study - claims
Case Study

Workers' comp carrier processes claims 100x faster

How indexing automation delivered 432% ROI in 12 months.

2026.06.02-library-webinar-registration-how-to-establish-clear-ai-ownership-in-your-insurance-organization
Architecture

Inside the Bevaya platform architecture

How specialized models, HITL controls, and integrations come together in production.

FAQ

Frequently asked questions

Traditional OCR converts pixels to text. Traditional classifiers match keywords or basic templates. The Claim Indexing AI Agent understands insurance — the difference between a Sworn Proof of Loss and a Notice of Loss, between an Xactimate Final Report and an interim version, between a First Notice of Demand and a Notice of Representation. It also splits multi-document packets at the right page boundaries, flags duplicates across the file, and ties everything back to the right claim. That's classification, splitting, deduping, and routing — in one system.

Indexing is one of Bevaya's fastest-payback deployments. A US P&C carrier avoided $1.3M annually on document classification and indexing alone. A Fortune 500 P&C carrier delivered 246% ROI within six months on related claims work. Most customers see meaningful adjuster capacity returned within the first 3 months of go-live and net-positive in year one. Bevaya commits to production-grade performance within 90 days, with the right to cancel — risk is on us, not your team.

Production deployments classify across 60+ P&C document types out of the box. Categories are fully customizable — your team can add, rename, or modify categories at any time without re-training from scratch. The Agent picks up new patterns from corrections automatically.

Every classification ships with a confidence score from 0 to 100. You set the threshold. Items above it route automatically. Items below it go to a Review Queue where an expert reviewer sees the document with X-Ray Mode highlighting — exactly which page elements drove the AI's call. Average review takes under 2 minutes. Corrections feed back into the model.

The Claim Indexing AI Agent extracts universal claim-tying fields from every document — claim number, claimant name, date of loss, policy number — and uses them to associate documents with the right claim file. Even when documents arrive separately over weeks or months, the Agent reconnects them automatically. Duplicates are flagged before they hit your claims system.

The Agent doesn't give up. When a document is missing a claim number, claimant name, or policy number, the Claim Indexing AI Agent queries your claims system — Guidewire, Salesforce, Duck Creek — to identify the right association automatically. Candidates are scored against extracted fields, and the document routes to the matching claim. If the lookup is ambiguous, the item goes to a reviewer with the ranked candidate matches surfaced for one-click selection. When the data isn't recoverable through lookup, the Agent requests it per your guidelines.

The Claim Indexing AI Agent is the upstream gate for every downstream claims workflow. Medical bill review, vendor invoice payments, subrogation, SIU fraud detection, adjuster workflow, and legal defense all depend on documents being in the right file with the right metadata.

When indexing runs cleanly, bills land on the right claim with the right policy terms ready for adjudication. Vendor invoices arrive matched to the right claim and approval path. Subrogation evidence — police reports, witness statements, photos — surfaces where analysts can find it. SIU documents flow distinctly to the fraud team the moment they land. Adjusters open a sorted file and spend their time on decisions, not document hunts. Every demand letter and legal document lands in a defensible file that traces back to source.

That's why most customers prioritize indexing as their first AI Agent deployment — the value compounds across the lifecycle.

Wherever your team works today. Bevaya pushes indexed documents and their metadata into Guidewire ClaimCenter, Salesforce, Duck Creek, or your custom claims platform via API. Your adjusters see organized files in the system they already use — no new tool to open.

Production deployment typically takes 8–12 weeks from kickoff. The Claim Indexing AI Agent is one of Bevaya's fastest to deploy — pre-trained classification logic for 60+ insurance document types means most of the work is configuring your specific channels, rules, and routing destinations. Bevaya manages deployment end-to-end. Your IT team stays focused on its own priorities.

It depends on your confidence threshold and document mix. Most customers see 90%+ of files auto-routed without manual review within 3 months of production. Some deployments — like our large insurance conglomerate processing 3,000 correspondence items daily — exceed that, with average review times under 30 seconds on the items that do need human eyes.

Bevaya is SOC 2 Type II and HIPAA compliant. Customer data is never used to train shared models. Deployments run in a customer-dedicated environment with enterprise connectivity options including VPN, point-to-site, and site-to-site connections.