AI-Powered Claims Automation

Handle Every Claims Call Instantly. No Hold Times. No Frustrated Policyholders.

Botcadence AI voice agent takes first notice of loss over the phone, provides real-time claims status updates, follows up on missing documents, and schedules adjuster visits — so your team focuses on complex claims only.

70%

Call Deflection

24/7

FNOL Intake

< 2min

Avg Call Time

92%

CSAT Score

The Problem

Why Claims Call Centers Are Struggling

Volume spikes, repetitive inquiries, and inconsistent data capture are crushing claims operations.

Policyholders Wait Too Long

After an accident or loss, policyholders are stressed and calling repeatedly. Long hold times destroy trust and CSAT.

Claims Teams Are Overwhelmed

A single weather event can generate thousands of calls overnight. Human teams cannot scale to match demand spikes.

Status Calls Waste Agent Time

Over 60% of inbound claims calls are simple status checks that don't require human expertise.

Incomplete FNOL Slows Processing

When humans take FNOL over the phone, they often miss critical fields, causing downstream delays and rework.

The Solution

AI That Handles 70% of Claims Calls

Let the AI manage routine claims interactions while your adjusters focus on complex, high-value claims.

Automated FNOL Intake

The AI collects all required FNOL fields — date of loss, description, policy number, contact info — through natural conversation.

Complete data capture

Real-Time Status Updates

Policyholders call in and get instant updates on their claim status, next steps, and expected timelines without waiting for an agent.

Zero hold time

Document Follow-Up Calls

The AI proactively calls policyholders to request missing photos, police reports, or repair estimates.

Faster resolution

Adjuster Scheduling

Book adjuster visits or inspections directly during the call by checking live calendar availability.

Instant scheduling

Fraud Signal Detection

The AI flags inconsistencies in caller stories, suspicious patterns, and policy mismatches for SIU review.

Built-in fraud screening

Claims System Integration

Connects to Guidewire, Duck Creek, or your claims platform to read and write claim data in real-time.

No manual entry

Hear the AI handle a claims call

Listen to a live demo of our voice agent taking a first notice of loss call and providing claims status.

How It Works

From First Ring to Resolved

How the AI handles an insurance claims call end-to-end.

Step 01

Policyholder Calls In

The AI answers immediately — no IVR tree, no hold music — and verifies the caller's identity securely.

Step 02

Intent Classification

The AI determines if it's a new claim (FNOL), status check, document question, or adjuster request.

Step 03

Resolve or Collect

For status calls, the AI provides instant answers. For FNOL, it captures every required field conversationally.

Step 04

Update & Route

The claim is created or updated in your system. Complex cases are routed to a human adjuster with full context.

The Transformation

Traditional Claims Center vs. AI Voice Agent

See how AI transforms the claims experience for policyholders and adjusters alike.

AreaWithout AIWith Botcadence
FNOL Intake8-12 minutes with human agentUnder 3 minutes with AI
Status Inquiries5-15 min hold + agent lookupInstant, zero hold time
After-Hours CoverageVoicemail or outsourced call centerFull AI handling 24/7/365
Data AccuracyMissing fields, typos, rework100% structured, validated capture
Surge CapacityOverwhelmed during catastrophesUnlimited concurrent calls

Built For Your Business

Who Uses Claims Voice Agents?

Any organization handling insurance claims phone volume.

P&C Insurers

Handle auto, home, and commercial claims calls at scale during normal and catastrophe periods.

Health Insurers

Automate claims status and pre-authorization inquiries for members and providers.

TPAs & MGAs

White-label the voice agent across multiple carrier clients for claims intake and servicing.

Claims BPOs

Augment your human teams with AI to handle overflow and after-hours volume.

Common Questions

Insurance Claims Voice Agent FAQ

Get Started Today

Transform Your Claims Experience Today

Deploy a Botcadence AI voice agent and eliminate hold times, reduce claims cycle time, and delight policyholders.

Free demo, no credit cardLive in under 30 daysWorks with your existing tools