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Freeflow Agents

It takes a team of agents to handle P&C claims audits

Book a demo

Claims Audit Agent

The Claims Audit Agent knows your business. Trained on your internal processing guides, standard operating procedures, and best practices, it audits every claim the way your best auditor would, citing the specific procedure behind every finding and delivering actionable feedback your adjuster team can act on immediately.

  • Key strengths:
    • Trained on your internal SOPs, processing guides, and best practices
    • Cites the specific procedure behind every finding
    • Scales your best examiner's judgment across your entire book

Compliance & SLA Agent

The Compliance & SLA Agent tracks regulatory deadlines, acknowledgment windows, coverage decision time frames, and explanation of benefits requirements, by state. It flags files approaching or past statutory thresholds before they create market conduct exposure.

  • Key strengths:
    • Monitors state-specific regulatory deadlines across your entire book
    • Flags approaching and missed SLA thresholds in real time
    • Reduces market conduct examination exposure proactively

Systems Connector Agent

Insurance runs on many legacy systems, broker portals, carrier APIs, claims dashboards, and more. The Systems Connector Agent knows how to integrate with them. It understands how each system behaves, how their APIs are structured, and how their UIs flow.

  • Key strengths:
    • Knows the major insurance core claims systems and data standards
    • Creates connections into APIs or UIs without waiting for custom endpoint code
    • Eliminates system silos so AI Agents can complete audit and evaluation work

Coverage Verification Agent

The Coverage Verification Agent reads the policy, the loss description, and the adjuster's coverage determination, and flags mismatches before they become denials or bad faith exposure. It understands endorsements, exclusions, and state-specific obligations.

  • Key strengths:
    • Matches loss facts against policy language and endorsements
    • Identifies coverage errors before decisions are finalized
    • Understands state-specific coverage obligations and exclusions

Liability Assessment Agent

The Liability Assessment Agent evaluates whether negligence was determined correctly given the facts of loss, witness statements, photos, and applicable state standards. It catches liability accepted too quickly or without sufficient investigation, where leakage most often hides.

  • Key strengths:
    • Evaluates liability determinations against facts of loss
    • Applies comparative and contributory negligence standards by state
    • Flags files where investigation is insufficient before closure

freeflow

Freeflow Agents

It takes a team of agents to handle P&C claims audits

Book a demo

Claims Audit Agent

The Claims Audit Agent knows your business. Trained on your internal processing guides, standard operating procedures, and best practices, it audits every claim the way your best auditor would, citing the specific procedure behind every finding and delivering actionable feedback your adjuster team can act on immediately.

  • Key strengths:
    • Trained on your internal SOPs, processing guides, and best practices
    • Cites the specific procedure behind every finding
    • Scales your best examiner's judgment across your entire book

Compliance & SLA Agent

The Compliance & SLA Agent tracks regulatory deadlines, acknowledgment windows, coverage decision time frames, and explanation of benefits requirements, by state. It flags files approaching or past statutory thresholds before they create market conduct exposure.

  • Key strengths:
    • Monitors state-specific regulatory deadlines across your entire book
    • Flags approaching and missed SLA thresholds in real time
    • Reduces market conduct examination exposure proactively

Systems Connector Agent

Insurance runs on many legacy systems, broker portals, carrier APIs, claims dashboards, and more. The Systems Connector Agent knows how to integrate with them. It understands how each system behaves, how their APIs are structured, and how their UIs flow.

  • Key strengths:
    • Knows the major insurance core claims systems and data standards
    • Creates connections into APIs or UIs without waiting for custom endpoint code
    • Eliminates system silos so AI Agents can complete audit and evaluation work

Coverage Verification Agent

The Coverage Verification Agent reads the policy, the loss description, and the adjuster's coverage determination, and flags mismatches before they become denials or bad faith exposure. It understands endorsements, exclusions, and state-specific obligations.

  • Key strengths:
    • Matches loss facts against policy language and endorsements
    • Identifies coverage errors before decisions are finalized
    • Understands state-specific coverage obligations and exclusions

Liability Assessment Agent

The Liability Assessment Agent evaluates whether negligence was determined correctly given the facts of loss, witness statements, photos, and applicable state standards. It catches liability accepted too quickly or without sufficient investigation, where leakage most often hides.

  • Key strengths:
    • Evaluates liability determinations against facts of loss
    • Applies comparative and contributory negligence standards by state
    • Flags files where investigation is insufficient before closure

freeflow

Freeflow Agents

It takes a team of agents to handle P&C claims audits

Book a demo

Claims Audit Agent

The Claims Audit Agent knows your business. Trained on your internal processing guides, standard operating procedures, and best practices, it audits every claim the way your best auditor would, citing the specific procedure behind every finding and delivering actionable feedback your adjuster team can act on immediately.

  • Key strengths:
    • Trained on your internal SOPs, processing guides, and best practices
    • Cites the specific procedure behind every finding
    • Scales your best examiner's judgment across your entire book

Compliance & SLA Agent

The Compliance & SLA Agent tracks regulatory deadlines, acknowledgment windows, coverage decision time frames, and explanation of benefits requirements, by state. It flags files approaching or past statutory thresholds before they create market conduct exposure.

  • Key strengths:
    • Monitors state-specific regulatory deadlines across your entire book
    • Flags approaching and missed SLA thresholds in real time
    • Reduces market conduct examination exposure proactively

Systems Connector Agent

Insurance companies run on multiple core systems, at times without available APIs. The Systems Connector Agent knows how to integrate with them. It understands how each system behaves, how their APIs are structured, and how their UIs flow.

  • Key strengths:
    • Knows the major insurance core claims systems and data standards
    • Creates connections into APIs or UIs without waiting for custom endpoint code
    • Eliminates system silos so AI Agents can complete audit and evaluation work

Coverage Verification Agent

The Coverage Verification Agent reads the policy, the loss description, and the adjuster's coverage determination, and flags mismatches before they become denials or bad faith exposure. It understands endorsements, exclusions, and state-specific obligations.

  • Key strengths:
    • Matches loss facts against policy language and endorsements
    • Identifies coverage errors before decisions are finalized
    • Understands state-specific coverage obligations and exclusions

Liability Assessment Agent

The Liability Assessment Agent evaluates whether negligence was determined correctly given the facts of loss, witness statements, photos, and applicable state standards. It catches liability accepted too quickly or without sufficient investigation, where leakage most often hides.

  • Key strengths:
    • Evaluates liability determinations against facts of loss
    • Applies comparative and contributory negligence standards by state
    • Flags files where investigation is insufficient before closure

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