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Solutions / Claims

Autonomous claims workflow execution.

Layerup agents intake claims, verify coverage, flag fraud and subrogation, prepare files, support reserves, route exceptions, and deliver adjuster-ready outputs inside existing systems.

Scope
Intake to write-back
Coverage
Personal & commercial
Adoption
One workflow, one team
01Lifecycle

The full claims lifecycle, executed by agents.

Layerup spans intake to write-back. Adjusters and examiners approve, supervise exceptions, and own outcomes.

Claims lifecycle
7 stages
  1. 01
    FNOL / Intake
  2. 02
    Coverage verification
  3. 03
    Triage & severity
  4. 04
    Fraud & subrogation flagging
  5. 05
    File readiness
  6. 06
    Reserve support
  7. 07
    Adjuster handoff & write-back
02Cross-LOB

Claims agents across lines of business.

Beyond triage, scoring, and recommendations. Layerup does not just identify risk — agents execute the workflow, prepare the file, and deliver the result.

Auto

01

Personal and commercial auto.

  • FNOL / intake
  • Coverage verification
  • Fraud flagging
  • Subrogation detection
  • Estimate QA
  • Settlement support

Property

02

Homeowners, dwelling, and commercial property.

  • Email intake
  • Contents valuation
  • Estimate QA
  • Invoice QA
  • Restoration review
  • Payout support

Commercial

03

GL, BOP, package, and middle-market lines.

  • FNOL / intake
  • Coverage verification
  • Document ingestion
  • Fraud and subrogation flagging
  • Reserve support
  • Examiner handoff package

Workers' Comp

04

Statutory workers' compensation.

  • FROI intake
  • Injury data capture
  • Jurisdiction deadline support
  • Compensability review support
  • Medical record summarization
  • Return-to-work signals
  • Reserve support
  • Litigation / denial package

Cyber

05

Cyber liability and tech E&O.

  • Incident intake
  • Vendor / forensics document ingestion
  • Coverage verification
  • Severity and exposure summarization
  • Reserve support
  • Examiner handoff package

IDI / Specialty / E&S

06

Individual disability, specialty, and E&S programs.

  • Claim intake
  • Document ingestion
  • Medical / financial record summarization
  • Coverage and benefit verification
  • File readiness
  • Examiner handoff package
03Auto & Property

Estimate-driven, physical-damage execution.

Auto and property claims demand precise estimate review, contents valuation, and vendor coordination. Layerup agents handle the operational mechanics end to end.

03 — Auto & Property
7 steps

Estimates, invoices, contents, payouts.

Agents review estimates and invoices for line-item accuracy, value contents from documentation, support repair and restoration review, and prepare settlement packages for human approval.

  • 01Estimate QA
  • 02Invoice QA
  • 03Contents valuation
  • 04Repair / restoration review
  • 05Payout / settlement support
  • 06Supplement handling
  • 07Vendor coordination support
04Fraud & subrogation

Flag fraud. Detect subrogation. Prepare the file. Deliver the result.

Layerup agents continuously evaluate intake, documents, and emerging file evidence for fraud signals and recoverable exposure — and prepare the package, not just the alert.

04A — Fraud detection
5 steps

From signal to packet.

Agents synthesize intake, documents, prior history, and behavioral signals to flag fraud and prepare a referral packet for SIU.

  • 01Continuous fraud signal detection
  • 02Document and statement consistency review
  • 03Inconsistency, repetition, and pattern flags
  • 04Referral package for SIU
  • 05Reasoning trace for every flag
04B — Subrogation detection
5 steps

Recoveries that no longer slip.

Agents identify recoverable exposure across the file, prepare evidence, and trigger the next step in the recovery workflow.

  • 01Liability and party identification
  • 02Subrogation indicator detection across documents
  • 03Evidence assembly for recovery
  • 04Demand-package preparation support
  • 05Status tracking inside existing systems
05File readiness

Adjuster-ready files prepared by agents, not humans.

Layerup agents continuously assemble the file — coverage, parties, documents, summaries, exposures, and decision inputs — so that human review is a final approval, not a manual build.

05 — File readiness
5 steps

Approval-ready packages, end to end.

Agents ingest documents and email, extract data, summarize findings, and assemble adjuster-ready packages that move the file from queue to closure.

  • 01Document ingestion and classification
  • 02Data extraction across the file
  • 03Summarization of key facts
  • 04Exposure and reserve inputs prepared
  • 05Decision package staged for approval
06KPIs

The metrics claims executives manage.

Layerup is measured on cycle time, file readiness, leakage, recovery capture, and SLA attainment — not on tokens, prompts, or messages.

Cycle time

01

Compress days into hours across intake to closure.

Claim closure time

02

Drive faster, higher-quality file completion.

File readiness

03

Adjuster-ready files prepared by agents, not humans.

Adjuster productivity

04

Increase files per FTE without growing headcount.

Cost per claim

05

Reduce manual handling and BPO escalation.

LAE reduction

06

Lower loss adjustment expense across the lifecycle.

Loss ratio improvement

07

Tighter coverage, fraud, and reserve decisions.

Leakage reduction

08

Catch missed exposures, recoveries, and pay-without-cause errors.

Fraud detection yield

09

Surface higher-confidence fraud signals at intake.

Subrogation recovery capture

10

Identify and prepare recoverable files automatically.

Reserve accuracy

11

Support timely, evidence-based reserve posting.

SLA attainment

12

Meet jurisdictional and contractual deadlines.

Get started

Move claims work from doing to approving.

Start with one workflow — FNOL intake, file readiness, contents valuation, or fraud detection. Prove the KPI improvement and expand.