Use cases · Insurance
Read, check, and assign claims before an adjuster opens them.
bem classifies and extracts claims packets, ACORD forms, loss runs, and policy applications, checks them against your rules, and assigns each one with the reasoning attached.
80%
Less engineering overhead handling diverse data formats. PromptWell
Inputs it reads
- Claims packets
- ACORD forms
- Loss runs
- First notice of loss
- Medical attachments
- Policy applications
From input to decision, in one workflow.
An example workflow for a claims packet. No recorded run is shown here, so the decision below is an illustration.
Input
- DOCClaims packetMulti-page PDF: form, photos, notes
- DOCACORD form
- EMLClaim emailWith attachments
Components
- 01SplitBreaks the packet, at any length, into its documents.
- 02ClassifyLabels each document: form, report, or attachment.
- 03ExtractClaimant, policy number, date of loss, description, and amounts into your schema.
- 04EnrichMatches the policy number to your policy system.
- 05DecideApplies your completeness and authority rules.
- 06SendDelivers the claim to your adjuster system.
Decision
Escalate to a senior adjuster
Example: the packet is complete, but the loss amount is above the desk's authority limit, so it goes to a senior adjuster with the extracted fields and the reasoning attached.
The decisions your adjusters make today.
Each one is a policy you write. bem applies it to every claim and shows its reasoning.
- 01
Complete or incomplete
A packet missing a required document is held with the gap listed.
- 02
Within authority or not
Amounts above a desk's limit go to the next level, with the numbers that triggered it.
- 03
Coverage check
The policy number and date of loss are checked against the policy record before assignment.
Why adjusters can trust what they see.
- 01
Every field is scored
A confidence score on each field, and the reasoning behind it, one click away.
- 02
People stay in the loop
Results below your threshold go to a reviewer with the source open beside them.
- 03
SOC 2, HIPAA, and GDPR
Medical attachments stay inside the deployment you choose, up to fully air-gapped.
How insurance teams automate it.
- How do I automate insurance claims document processing with AI?Split each claims packet into its component documents, classify them, extract every field against a strict schema with a per-field confidence score, route low-confidence fields to an adjuster, and log every determination for audit.
- How to automate FNOL intake with AIPoint every FNOL channel at one pipeline: email, portal, phone recordings, and photos are classified, split, and extracted into a schema-enforced claim record with a confidence score on every field.
- How to automate insurance submission intake for underwritingTreat submission intake as a data problem, not a document problem: classify and split each inbound packet, extract ACORD fields and loss-run tables against typed schemas with per-field confidence scores, route uncertain fields to underwriting assistants, and deliver validated records to rating.
Assign your first claim.
The first 100 function calls are free. Pricing is per task, not per token or page. Pay as you go, with no lock-in.