Assign claims in seconds
AI Claims Triage Agent
Route every claim with perfect logic
Delegate your initial claims review to a specialized AI agent. It reads FNOL submissions, assesses claim severity and complexity based on your rules, and automatically routes each claim to the appropriate adjuster or team.

Ideal for
Claims Operations
TPAs
Insurance Carriers
Time comparison
Traditional way
10-15 minutes per claim
With V7 Go agents
15 seconds
Average time saved
98%
Why V7 Go
Analyzes initial claim documents
To automatically determine the right workflow.
Import your files
Guidewire
,
Duck Creek
,
Salesforce Service Cloud
Import your files from whereever they are currently stored
All types of Insurance documents supported
Once imported our system extracts and organises the essentials
Connect AI to your claims intake process.
Finance
•
Legal
•
Insurance
•
Tax
•
Real Estate
Answers
What you need to know about our
AI Claims Triage Agent
How do we define our custom triage and routing rules?
You provide your assignment logic in a simple format (like a checklist or decision tree) and we help configure it in the agent. For example: 'If claim is < $5,000 AND no injury, THEN route to Fast Track. IF 'attorney' is mentioned, THEN route to Litigation.'
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How does it assess the 'severity' of a claim?
It's based on the data it extracts and your rules. It analyzes factors like the reported damages, whether injuries are mentioned, if third parties are involved, and keywords in the loss description to make an initial severity classification.
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Does this agent integrate with our claims management system?
Yes. After triaging the claim, the agent can make an API call to your core claims system (like Guidewire) to create the new claim file and make the initial assignment directly in the system.
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Can it handle a high volume of claims, for example during a catastrophe?
Absolutely. The agent is built to scale. During a CAT event, it can process thousands of incoming FNOLs per hour, providing instant triage and ensuring your team isn't overwhelmed by the volume.
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What is the output of the triage process?
The primary output is the action itself: routing the claim to the right queue or person. It also generates a summary report detailing *why* each claim was routed a certain way, creating a clear audit trail of the decision.
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How is this different from the Claims Automation Agent?
The Claims Automation Agent focuses on extracting all the data to set up the claim file. The Triage Agent takes that data and makes the first critical *decision*: Where should this claim go? They are designed to work together in a sequence.
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Next steps
Is manual triage creating a bottleneck in your claims process?
Send us a batch of your recent anonymized claims and your assignment rules. We'll show you how our AI agent can triage and route them automatically.












