Identify the outstanding information
A claim arrives with details missing. The agent checks permitted claim and policy records against your approved requirements.
Insurance
Bring claim details together for review.
Origon’s AI follows up on missing information and prepares claim and policy-service records for your team. Reviewers can see what was gathered and what remains unresolved. Your people retain designated claim decisions and approvals.
Illustrative workflow
A claim is missing information.
Request the missing details
The agent contacts the relevant person through an approved channel and keeps replies with the claim. Follow-up continues within the rules and permissions you set.
Bring the claim to a reviewer
The reviewer receives the gathered information, sources and unresolved questions. The agent refers designated claim decisions and uncertain findings to your team.
Insurance workflows
Handle policy changes and service questions.
Identify a requested policy change and follow the service steps your team permits.
- Identify the policy and the requested service action
- Use permitted tools and request required approvals
- Keep the request history when a person takes over
Build around your claims systems and decision rules.
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Keep claim data inside your environment The complete system can run fully privately or air-gapped without third-party model or platform APIs. Integrations are selected for that boundary.
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Set the boundary for each service action Origon connects the records, knowledge and tools the workflow needs. Your team specifies permitted actions and which decisions require human approval.
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Inspect how the review record was prepared Reviewers can see retrieved information, tool calls, errors and escalations beside the service conversation before deciding what to do next.
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Support changing policies and procedures Origon implements the connections to your systems and evaluates updates as products and service requirements evolve.