Agentic AI is changing the landscape of property and casualty claims by providing digital coworkers for adjusters. As experienced professionals retire and claims volume increases, these AI agents help by managing repetitive tasks, allowing adjusters to focus on more meaningful work, such as problem-solving and supporting customers. They streamline workflows by handling functions like document review and coverage verification, significantly improving efficiency and compliance. With proven benefits, including faster claim resolution and decreased costs, agentic AI is becoming essential for insurers aiming to enhance service quality and meet growing customer expectations. Embracing this technology means insurers can better navigate the challenges of today’s claims environment.
Ten Things to Know About Agentic AI in Property and Casualty Claims: A New Era for Adjusters and Technology
For many years, property claims adjusters have played a vital role in helping families recover from losses like fires, floods, or thefts. They are more than just processors of claims; they are compassionate helpers when people need it most. But as the insurance industry faces new challenges, the role of adjusters is evolving.
With experienced adjusters retiring and the number of claims rising due to climate change, the pressure on the remaining workforce is immense. Enter Agentic AI agents—these are smart, task-specific digital coworkers designed to support adjusters in their daily responsibilities. Rather than taking away jobs, these AI systems enhance the human touch, allowing adjusters to focus on what truly matters: helping clients.
The Insurance Industry Shift
Insurance companies face multiple pressing challenges today:
- Talent Shortages: The average age of claims professionals is increasing, while fewer new individuals are entering the field.
- Rising Claim Volumes: Climate-related events are more common, resulting in a significant backlog of claims.
- Customer Expectations: Policyholders want fast, digital interactions, even for complex claims.
- Outsourcing Fatigue: Companies have relied on third-party providers but are now looking for more efficient solutions.
While some steps toward digitization have been made, much of the claims process still involves repetitive tasks. This is where Agentic AI can make a difference.
What Are Agentic AI Agents?
Agentic AI agents are not your average chatbots. They are fully functional digital coworkers that handle repetitive tasks throughout the claims process. Some examples include:
- First Notice of Loss (FNOL) intake
- Document review and checks for completeness
- Verification of policy coverage
- Identifying subrogation and salvage potentials
- Repair estimate comparisons
These agents work independently, using predefined rules tailored to each insurance carrier’s needs, and can tackle about 80% of standard tasks without additional customization.
Transforming Adjuster Workflows
In the daily lives of residential property adjusters, the workload can often feel overwhelming. Multiple systems must be accessed, and claims files can be revisited numerous times. Luckily, Agentech’s digital coworkers are changing this.
For instance, the File Review Agent audits claim files for completeness and compliance in real time, while the Policy Coverage Verifier matches claim details with policy language to confirm eligibility quickly.
The results are impressive, including:
- A fourfold increase in claims processed
- Up to a 67% reduction in handling costs
- Shorter handling times and less stress for adjusters
Human-Centric Impact
One of the most common misconceptions about Agentic AI is that it is meant to replace humans. In reality, it frees up adjusters to focus on higher-value tasks. Adjusters desire to help, guide, and support clients through difficult times. With AI, they can do just that with less stress and greater confidence.
Enhancing Compliance and Accuracy
In the heavily regulated insurance industry, every action taken by Agentic AI agents is logged, timestamped, and auditable. This transparency ensures that claims are handled more quickly and more accurately, making them ready for any internal or external audits.
Getting Started with Agentic AI
Carriers new to technology should begin with one line of business and one specific claims function. Collaboration between claims, IT, and compliance teams is essential for a successful rollout. The implementation process can take as little as two to four weeks.
Conclusion: A New Chapter for Adjusters
Agentic AI is not a far-off dream; it is already making waves in the insurance industry. As companies face talent shortages and rising claims, adopting Agentic AI can bring speed, accuracy, and empathy to the claims process. Insurers willing to embrace this innovative technology will not only speed up their operations but also improve customer satisfaction.
Ready to enhance your claims process? Explore how Agentech can assist your property and casualty team in transforming workflows, ensuring a brighter future for both adjusters and policyholders.
Tags: Agentic AI, Property and Casualty Claims, Claims Adjusters, Insurance Technology, Digital Coworkers
What is the purpose of transforming desk and field adjuster workflows in property claims?
Transforming desk and field adjuster workflows aims to make the claims process faster and more efficient. By improving these workflows, insurance companies can provide better service to their customers and speed up claims resolutions.
How can technology help streamline adjuster workflows in P&C property claims?
Technology can help by using tools like mobile apps and software that allow adjusters to access information easily. These tools help adjusters communicate better and handle claims more quickly, which leads to a smoother experience for both the adjuster and the customer.
What are the main challenges faced by desk and field adjusters during the claims process?
Desk and field adjusters often face challenges like poor communication, delays in getting information, and difficulties in managing large volumes of claims. These issues can slow down the process and create frustration for both adjusters and policyholders.
How does improving workflows benefit customers in property claims?
Improving workflows can lead to faster claim processing, which means customers get their claims resolved sooner. Better communication and quicker service can also enhance customer satisfaction and trust in their insurance provider.
What steps can insurance companies take to start transforming their adjuster workflows?
Insurance companies can start by assessing their current systems and identifying areas for improvement. They can invest in new technology, provide training for adjusters, and encourage better teamwork and communication to make workflows more effective.