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Frequently Asked Questions

What is Agentech, and what does it offer for insurance claims automation?

Agentech develops AI-powered solutions to streamline insurance claims workflows. Its digital agents automate repetitive tasks, such as document review, data extraction, and subrogation identification, reducing operational costs and improving adjuster efficiency. (Learn more)

How do Agentech’s AI agents improve the claims workflow?

Agentech’s AI agents automate critical claims processing tasks, including:

  • Policy interpretation.
  • Adjuster assignment by peril.
  • Medical record review and subrogation opportunities.

This enables adjusters to focus on high-value decisions, resulting in faster claims settlement and improved customer satisfaction. (Learn more)

What is the ROI of using Agentech’s solutions?

By automating claims workflows, Agentech reduces processing costs by up to 60% and increases adjuster productivity by up to 300%. Faster processing also improves customer retention and loyalty. (Contact Us to learn more)

Does the solution identify the next best action to be taken regarding the claim?

Identifying the next best action for a claim, which we refer to as claim recommendations, is a capability currently in development. It’s on Agentech’s roadmap, and the team is actively working on it. We do have suggested call scripts in production.  These call scripts take into account the claim story and present the claim handler with clarifying questions, policyholder nuances, custom data reference, etc. for the call. (Let’s talk if you want to help shape this feature)

How does the solution work? Is it using ML to learn from past cases to offer the best solutions possible?

The solution primarily leverages pre-trained LLM models to produce results. The data we generate is periodically reviewed and labeled in order to drive closer adherence to any given client/carrier guidelines. (Let’s chat about how it can align with your claims playbook)

Is your solution able to synthesize expert reports, like legal demand packets or medical records, and track their evolution?

Yes, Agentech can synthesize expert reports, including attorney demand packets and medical letters/records, in both structured and unstructured formats. While it does not independently track the evolution of documents over time, it can highlight key changes between versions and update reports based on new inputs. (Contact us to see how we handle your specific report types)

Can Agentech integrate with existing claims management systems?

Yes, Agentech’s solutions integrate seamlessly with platforms like Guidewire, Snapsheet, Duck Creek, and ClickClaims via API-driven architecture. This ensures minimal disruption to existing workflows. (Learn about our integration capabilities)

Is it possible to integrate it to Guidewire? And does it deploy on premise?

Yes, it is possible to integrate Agentech with Guidewire. While the integration is currently being explored, it is on the roadmap and can be accelerated with the right partner and contract size. Once integrated, users would operate entirely within Guidewire, with Agentech pulling and pushing data directly. Agentech is primarily a cloud-based solution, but on-premise deployment can be discussed depending on partnership and scale. (Reach out to explore deployment and integration options)

Which industries and insurance lines does Agentech support?

Agentech supports diverse insurance lines, including Property & Casualty, Auto, Workers’ Compensation, Travel, and Pet Insurance. Its adaptable AI solutions can be tailored to meet specific workflow requirements across these lines. (Contact Us to learn more)

What languages do you support? Is French included?

Agentech has not explicitly supported French yet, but the platform is designed to translate all documents into English before processing. It has successfully handled Spanish documents, demonstrating the effectiveness of large language models in translation. Based on current capabilities, there are no anticipated hurdles in processing French, and the team is open to testing and adapting to ensure accuracy and value for customers. (Learn about how we can support almost any lanquage)

How does Agentech ensure accuracy in claims processing?

Agentech uses machine learning, human-in-the-loop oversight, and real-time audits to maintain accuracy rates of 90-95%. This ensures transparent and compliant claims processing. (Contact Us to learn more about our accuracy standards)

Is it compliant with the GDPR regulations?

Agentech is well underway achieving GDPR compliance.  We have a DPO, data processing agreements, data handling and security controls in place, baked GDPR control objectives into our SOC 2 Type 2 audit for our next lookback period, and are prepared to receive, review, and negotiate on Standard Contractual Clauses with our European customers. (Contact us for compliance documentation or a security review)

Is Agentech’s AI compliant with industry regulations?

Yes, Agentech complies with GDPR, CCPA, HIPAA, and NAIC’s Pet Insurance Model Law. Its solutions include robust data privacy and encryption practices. (Contact Us to learn more)

How does Agentech handle data security and privacy?

Agentech uses end-to-end encryption, role-based access controls, and third-party audits to secure data. Flexible deployment options, including private environments, are available for heightened security. (Contact Us to learn more)

How does Agentech adhere to carrier-specific guidelines?

Agentech’s AI agents are trained on specific carrier guidelines and continuously updated to ensure compliance with evolving standards. This ensures accuracy and reduces manual oversight. (Learn about guideline adherence)

Can Agentech’s AI agents work alongside human adjusters?

Yes, Agentech’s collaborative AI approach ensures that human adjusters remain integral to complex decision-making while automating routine tasks. (Contact Us to learn more)

What happens if Agentech’s AI makes a mistake?

Agentech’s human-in-the-loop model ensures oversight on all AI-generated outputs. Adjusters have full control over final decisions, minimizing liability and errors. (Learn more about human-AI collaboration)

Is Agentech’s AI customer-facing?

No, Agentech operates behind the scenes, improving processing speed and accuracy while ensuring a seamless customer experience. (Schedule a Call to learn more)

What if my insurance company’s processes are not standard?

Agentech specializes in customizing solutions for non-standard workflows. Its “learn before we build” approach ensures that your processes are fully integrated. (Explore customization options)

I don’t see my company’s insurance LOB on your site. Will Agentech still work for me?

Yes, Agentech is open to supporting new lines of business. Its customizable AI agents can be adapted to your unique workflows. (Contact us to discuss your needs)

How can I get started with Agentech’s solutions?

Starting with Agentech is simple:

  1. Book a consultation.
  2. Request a demo.
  3. Pilot the program with real claims data.
  4. Implement seamlessly into your CMS.
  5. Receive ongoing support and updates. (Schedule your consultation today)