Agentech
CLAIM OVERSIGHT · AT EVERY POINT IN THE LIFECYCLE

AI File Review and Claims Ops

Reduce cycle times.  Close claims confidently. Surface actions to maintain SLA compliance

Contact Sales See how it works ↓
QA Complete Claims Ops · live in production
Screenshot 2026-07-01 at 8.27.29 AM

Which side of the file are you on?

Agentech helps companies across the claims spectrum. Use QA Complete, Claims Ops, or both — whichever fits how you work.
— 01

Carriers

You set the standard. We hold every file you receive to it — vendor-agnostic — and extend the same standard to FNOL, document handling, and ongoing claim activity.

→
— 02

IAs and TPAs

Your standard lives in two senior reviewers' heads. We capture their judgement and apply it to every file — regardless of who actually touched it.

→
— 03

Restoration Companies

Align scope and evidence against estimates. Adhere to carrier guidelines. Maximize billable revenue.

→
01 The Problem

One claim. Multiple handoffs. No single source of truth.

The claims process is inherently broken.  Every person who touches it alters or interprets the narrative in their own way.  The lack of consistent oversight leads to inefficiencies at every point in the lifecycle of a claim.

Loop · 2 days lost
01FNOL
FNOL
02TRG
Triage
03ASGN
Assignment
04FA
Field
Adjuster
05QAC
File
Reviewer
06QA
Sign-off
07CAR
Carrier
— What actually happens to one file
01

A reviewer flags a missing line item. File goes back to the field adjuster.

↺ 02

Two days pass. The field adjuster explains it was already documented in the GLR.

03

File goes back to review. Cycle time has increased unnecessarily.

04

The policy holder is negatively impacted. 

A loop that shouldn't have happened. Multiplied across thousands of files.

Every handoff is an interpretation. Every interpretation, a chance to drift.

The cost compounds — into cycle time, rejections, and rework. We keep humans in the loop; we make every touch intentional; we keep the claim moving forward.

04How it works

AI used intentionally

We're not just throwing everything at an AI model and hoping for the best. We've engineered a structured approach that leverages AI where it's useful and rules when they're needed.

01

Baseline

Evaluate the file for document completeness and baseline data consistency.

02

Compliance

Reference specific carrier guidelines and best practices to ensure the file is in compliance.

03

Recommendations

Provide actionable recommendations and next steps to address issues and keep the file moving.

QA Complete / Reviewing · Baseline Live
Carrier · Tier 2 · 14 docs · 32 photos · GLR + estimate STEP 01 / 03
R

Check guideline X.Y.Z

Lorem ipsum dolor sit amet, consectetur.

Rule
AI

Cross-document reasoning

Photos × estimate × GLR · 3 sources reasoned.

LLM
✓

Mitigation within window

Evidence and timestamps within window. No deviation.

Pass
✓

Owner-declined repair noted

GLR documents per §B. Cleared automatically.

Pass
The AI surfaces. Your team decides. Every time.
05Live in production

Already delivering value to claims organizations

Both QA Complete and our Claims Ops solutions are live in production today.

— Time saved per file review
75%
From 60–75 min → under 15

Stop spending unnecessary time manually combing through claim files.

— Onboarding time
3weeks
Live, configured to carrier preferences

Start seeing results in less than a month.

CLAIMS OPS · IN PRODUCTION

"Implementing Agentech was a breeze. It just works."

QA COMPLETE · LIVE TODAY

Running across Carriers · IAs · TPAs · Restoration Companies.

06Two products

Two starting points.
One standard across both.

Start with audits or with claims handling. Run them side by side. Neither depends on the other.

File review & audit · live in production

QA Complete

Holds every file you receive to the carrier standard. Photos, estimate, GLR, and sketch reasoned together — surfaced for a human to sign off.

  • Cross-document reasoning
  • Carrier-tier guidelines
  • Reviewer sign-off in-app
Learn about QA Complete →
Claim orchestration · live in production

Claims Ops

FNOL analysis, 7-day status summaries, document management, and XactAnalysis sync. The same standard, applied across the lifecycle.

  • FNOL analysis
  • Status summaries
  • Document handling
Learn about Claims Ops →
Start with the one that fits your needs.
QA Complete → Claims Ops →
08Book the call

Let's talk about
where to start.

Ready to learn more? Book a time to talk with our sales team and learn how you can get started with Agentech AI.

Contact Sales Talk to us about Claims Ops
— Live in 3 weeks— QA Complete · in production— Claims Ops · in production