How it works
ClaimRoute orchestrates long-running claim workflows with policy gates and audit trail.
How we're different
- Completeness-first FNOL: we finish the file, not just capture a report.
- Routing that sticks: policy-based triage with escalation gates and audit trail.
- Proactive digital updates to reduce status-chasing loops.
Trust rule: AI drafts, humans decide for sensitive outcomes.
Core architecture
Connectors
→
Orchestrator
→
Policy Engine
→
Agent Layer
→
Audit Trail
Example workflow
1
FNOL intake
Web or email intake creates the claim file.
2
Doc chase
Missing items requested and tracked with SLAs.
3
Completeness score
Explainable checklist and score update the case.
4
Routing decision
Deterministic rules route to the right queue.
5
Status updates
Proactive updates sent with adequacy scoring.
6
Adjuster kit
Evidence pack and summary ready for review.