Claims FNOL Agent AI Agent
Automate FNOL intake and claim initiation across WhatsApp, Web chat, Voice while improving FNOL completeness and reducing claim cycle time.
Example: Claims FNOL Agent that captures incident details, collects photos, and schedules surveys quickly.
Claims Ops, Policy Servicing, Renewals Ops, CX
Website widget · Inbound number · WhatsApp deep link · Email · Agent/broker portal
Secure actions, supervised handoff, and full audit trails.
Built for teams that need speed and control
Outcomes-first jobs your buyers care about
Capture FNOL details
How: Structured questionnaire for incident, time, and location.
Outcome: Complete claim intake
Collect photos and documents
How: Sends upload links for ID, damage photos, FIR.
Outcome: Fewer claim delays
Schedule survey
How: Books a surveyor appointment.
Outcome: Faster claim processing
Share claim status
How: Provides claim number and next steps.
Outcome: Lower inbound calls
Step-by-step flow buyers expect to see
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1
Trigger: incident reported
Customer starts FNOL.
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2
Intake
Incident details captured.
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3
Doc capture
Photo and FIR collection.
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4
Action
Create claim + schedule survey.
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5
Exceptions
Missing documents escalated.
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6
Wrap-up
Claim number + SLA shared.
Real scenarios with clear resolution paths
Agent: Please share the accident time and location.
Customer: Yesterday 8 PM near MG Road.
Agent: Thanks. Upload photos here.
Customer: I don't have the FIR yet.
Agent: You can upload it within 48 hours. I will remind you.
Agent: I am transferring you to our claims specialist for injury cases.
Systems connected with secure actions
Systems of record
Policy admin, Claims system, CRM, TPA
Service stack
Zendesk, Freshdesk, Knowledge base
Comms
Dialer/telephony, WhatsApp provider, SMS, Email
Action tools
Document collection, eSign, Payment links, Survey tools, Claims system, Doc upload, Survey scheduling
Enterprise readiness built in
What you will improve
FNOL completeness
Claims initiated with full documentation.
Claim cycle time
Time from FNOL to settlement.
Renewal rate
Policies renewed before lapse.
Lapse rate
Policies not renewed within grace.
AHT
Average handling time per interaction.
CSAT
Customer satisfaction post-servicing.
Complaint rate
Escalations per 1,000 policies.
Agent productivity
Cases handled per FTE.
Flexible to your policies, tone, and tools
A phased rollout with clear deliverables
Discovery + call listening
- Workflow map and intent list
- SOP alignment and compliance notes
- Success metrics and QA plan
Pilot on 1 channel + 1 workflow
- Agent prompts and guardrails
- Test cases and failover scripts
- Live dashboard with baseline KPIs
Expand intents + integrate systems
- System actions and data sync
- Multi-channel coverage
- Supervisor playbooks
Optimize + scale
- Continuous QA coaching
- A/B tested prompts and flows
- Governance and reporting
Buyer objections, answered
How do you handle exceptions?
The agent routes exceptions to a human with full context, suggested next steps, and a clear disposition.
What happens when the agent is unsure?
It asks clarifying questions, consults the approved knowledge base, or escalates based on confidence thresholds.
Can we restrict what it can say or do?
Yes. Guardrails lock sensitive responses and require approvals for authenticated actions.
How are transcripts stored?
Transcripts and action logs are stored with retention controls and audit access.
How does handoff work with our CRM or ticketing?
The agent writes structured notes, tags, and next steps directly into your system of record.
What languages and accents are supported for voice?
Major Indian and global languages with configurable voice and accent options.
See this agent live on your workflow
See the agent live with your data, policies, and channels.
Deploy an AI-supervised agent for your highest-volume workflow.
We consult, design, build, and manage the agent end-to-end.