Install
Download the AI Agent and follow the instructions to install it in your AAE Control Room.
Insurance Claim Agent
An agentic A360 process uses GenAI Vision to extract and validate insurance claims against policy rules and automatically emails the insurer for processing
Top Benefits
- Enables end-to-end automation, reducing manual effort and operational costs
- Improves accuracy and consistency through AI-driven policy validation
- Accelerates claim processing and insurer communication
- Ensures compliance with company rules while scaling effortlessly with volume
Tasks
- Document automation extraction
- Document automation download extracted data and read data from .CSV
- Pass the field values to AI skill
- passing field values to the insurance agent for validating with company policies or rules for a claim to process
- after validation passing field value and validation status to the email agent to send a email to the insurer to process
An agentic process has been implemented in Automation Anywhere A360 using Document Automation with GenAI Vision to automate insurance claim validation and communication.
Document Ingestion & Extraction
Insurance claim documents are ingested using Document Automation (GenAI Vision).
Required claim fields are intelligently extracted and stored in a CSV file for downstream processing.
AI-Driven Validation
The extracted CSV data is passed to an AI Skill and an Agentic AI Agent.
The agent validates the claim details against company policies and predefined business rules (e.g., mandatory fields, value thresholds, eligibility criteria).
Decision & Orchestration
The agent autonomously determines whether the claim meets validation requirements.
This decision governs the next action without manual intervention.
Automated Email Communication
If validation is successful, an Email Agent automatically drafts and sends a structured email to the insurer, requesting claim processing.
The email includes all relevant validated claim details to ensure faster turnaround.
Outcome
The solution enables end-to-end, touchless claim processing, reduces manual effort, improves accuracy, ensures policy compliance, and accelerates insurer communication.