AI-Powered Claims Investigation

Claims Investigation in
Minutes, Not Days

Three AI agents collaborate to triage, investigate, and decide on insurance claims — with full audit trail.

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Trusted by 500+ companies

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Everything You Need

Powerful features to streamline your claims investigation process

Dynamic Recruitment

Agents join investigation only when needed — no wasted resources on simple claims.

Full Audit Trail

Every message, decision, and tool call recorded in Band room for regulatory compliance.

@Mention Routing

Agents only process messages directed to them, enabling precise coordination.

Clarification Loops

Fraud Investigator asks Claim Reviewer questions mid-investigation.

Risk-Based Escalation

Automatic escalation from LOW → MEDIUM → HIGH with specialist recruitment.

Real-Time Investigation

Watch agents collaborate live with delivery tracking and thinking indicators.

Orchestration

AI agents investigating claims.

Multi-agent coordination over the Band platform — dynamic recruitment, clarification loops, and structured decisions with full audit trail.

Claim Submission

User submits a claim. Claim Reviewer extracts facts and classifies risk level automatically.

Investigation

Fraud Investigator is recruited on-demand. Analyzes patterns with clarification loops.

Judgment

Senior Adjuster reviews all evidence and produces a structured final decision.

Resolution

Settlement executed — policyholder notified, payment processed, case archived.

Meet the Agents

Each uses a different framework, recruited dynamically

Claim Reviewer

Always in room

Extract facts & classify risk
Dynamic agent recruitment
Answer clarification queries
LangGraphGPT-4o

Fraud Investigator

Recruited on-demand

Pattern & anomaly analysis
Cross-reference fraud indicators
Clarification loop with Reviewer
CrewAIGPT-4o

Senior Adjuster

Recruited on-demand

Final decision authority
Settlement calculation
Compliance & regulatory check
Pydantic AIGPT-4o

Trusted by Industry Leaders

Sarah Chen

VP Claims, Pacific Insurance

ClaimPilot reduced our investigation time from 5 days to under 2 minutes. The audit trail alone is worth it.

Marcus Williams

CTO, Southeastern Mutual

The dynamic recruitment of specialist agents means we only use resources when needed. Brilliant architecture.

Emily Rodriguez

Head of Fraud, Atlas Re

The clarification loop between agents catches inconsistencies our team used to miss entirely.

Simple Pricing

Choose the plan that fits your team

Free Demo

Try before you commit

$0

7-day trial

  • Up to 10 claims
  • All 3 AI agents
  • Full audit trail
  • Band platform access
  • Email support

Single

For individual adjusters

$20/month

1 user

  • Unlimited claims
  • All 3 AI agents
  • Full audit trail
  • Priority processing
  • Email & chat support
  • Analytics dashboard
Popular

Small Team

Up to 5 members

$100/month

Max 5 users

  • Everything in Single
  • 5 team members
  • Shared case dashboard
  • Role-based access
  • Team analytics
  • Slack integration
  • Priority support

Enterprise

For larger teams (5+)

Custom

Tailored to your org

  • Everything in Small Team
  • Unlimited members
  • Dedicated account manager
  • Custom integrations
  • SLA guarantee
  • On-premise option
  • Compliance consulting
Contact Sales

Frequently Asked Questions

Got questions? We've got answers.

How does AI claims investigation work?+

Our system uses 3 specialized AI agents that collaborate through the Band platform. The Claim Reviewer triages and classifies risk, the Fraud Investigator analyzes patterns, and the Senior Adjuster makes the final decision — all with full audit trail.

Is my data secure?+

Yes, we use bank-level encryption and are SOC 2 compliant. All claim data is encrypted at rest and in transit. The investigation audit trail provides full transparency for regulatory review.

Can I integrate with my existing systems?+

Absolutely! We offer REST API and webhooks for easy integration with your existing claims management system, policy database, and notification infrastructure.

How fast is the investigation?+

Most claims are processed in under 2 minutes. Simple claims (LOW risk) are auto-approved in seconds. Complex claims requiring all 3 agents typically complete within 2-3 minutes.