Ask any pet insurance claims adjuster and they’ll tell you the least favorite part of their job is creating a claim profile. It’s an incredibly manual process that takes too long and is prone to error.
At the same time, this process is crucial. Adjusters must create accurate claim profiles in order to determine what is a pet’s preexisting condition and what is covered under their owner’s insurance policy.
Why is creating a claim profile so time-consuming?
Adjusters have to wade through a lot of messy information in order to create a claim profile. These veterinary documents are often long and dense. Records differ in formats depending on the veterinary office — some even have handwritten notes. They might be as long as 50-100 pages. Hunting down relevant dates and diagnoses in these unstandardized medical documents is incredibly tedious.
It takes an adjuster an average of 30 minutes to create one single claim profile.
For older pets or pets with complicated health issues, it can take even longer — up to an hour each. As a result, many insurers have a massive backlog of claims that is growing by the day.
Agentech is an AI pet claims assistant that automatically generates claim profiles so adjusters can make decisions in a matter of minutes.
Here’s how it works:
- Agentech automatically extracts vet records from the insurer’s database. Adjusters don’t have to lift a finger — no selecting or uploading documents necessary.
- Agentech checks this raw data for consistency, interpretability, and assigns it a confidence rating.
- Agentech's proprietary AI algorithms then ingest and process the raw data.
- Agentech generates a comprehensive claim profile in seconds that’s ready for the adjuster to review, confirm, and reference to process a claim.
Agentech runs multiple rounds of quality assurance, and even learns as it goes. The more data it ingests, the more accurate Agentech gets.
With Agentech, adjusters get to focus on the work they enjoy and are trained to do: making claims decisions.
