One long-horizon agent runs the entire claim.
The Layerup claims agent intakes the claim, verifies coverage, flags fraud and subrogation, prepares the file, supports reserves, and delivers adjuster-ready output — one agent per line of business, working uninterrupted for hours or days until the file is finished.
The full claims lifecycle, executed by one long-horizon agent.
Every stage below is the same agent's single continuous run, from intake to write-back. Adjusters and examiners approve, supervise exceptions, and own outcomes.
- 01FNOL / Intake
- 02Coverage verification
- 03Triage & severity
- 04Fraud & subrogation flagging
- 05File readiness
- 06Reserve support
- 07Adjuster handoff & write-back
One claims agent per line of business.
Each line gets one dedicated claims agent that executes every step below in a single run — beyond triage, scoring, and recommendations, it works the workflow, prepares the file, and delivers the result.
Auto
01Personal and commercial auto.
- FNOL / intake
- Coverage verification
- Fraud flagging
- Subrogation detection
- Estimate QA
- Settlement support
Property
02Homeowners, dwelling, and commercial property.
- Email intake
- Contents valuation
- Estimate QA
- Invoice QA
- Restoration review
- Payout support
Commercial
03GL, BOP, package, and middle-market lines.
- FNOL / intake
- Coverage verification
- Document ingestion
- Fraud and subrogation flagging
- Reserve support
- Examiner handoff package
Workers' Comp
04Statutory 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
05Cyber 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
06Individual disability, specialty, and E&S programs.
- Claim intake
- Document ingestion
- Medical / financial record summarization
- Coverage and benefit verification
- File readiness
- Examiner handoff package
Mortgage Insurance
07Private mortgage insurance claims and underwriting.
- Delinquency / claim intake
- Servicer document ingestion
- Coverage and certificate verification
- Loss mitigation review support
- Claim calculation and perfection
- Payout preparation
Estimate-driven, physical-damage execution.
Auto and property claims demand precise estimate review, contents valuation, and vendor coordination. The claims agent handles the operational mechanics end to end.
Estimates, invoices, contents, payouts.
The claims agent reviews estimates and invoices for line-item accuracy, values contents from documentation, supports repair and restoration review, and prepares settlement packages for human approval — all within the same run that opened the file.
- 01Estimate QA
- 02Invoice QA
- 03Contents valuation
- 04Repair / restoration review
- 05Payout / settlement support
- 06Supplement handling
- 07Vendor coordination support
Flag fraud. Detect subrogation. Prepare the file. Deliver the result.
Throughout its run, the claims agent continuously evaluates intake, documents, and emerging file evidence for fraud signals and recoverable exposure — and prepares the package, not just the alert.
From signal to packet.
The claims agent synthesizes 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
Recoveries that no longer slip.
The same agent identifies recoverable exposure across the file, prepares evidence, and stages the next step in the recovery workflow — no handoff, no second system.
- 01Liability and party identification
- 02Subrogation indicator detection across documents
- 03Evidence assembly for recovery
- 04Demand-package preparation support
- 05Status tracking inside existing systems
Adjuster-ready files prepared by the agent, not humans.
The claims agent continuously assembles the file — coverage, parties, documents, summaries, exposures, and decision inputs — so that human review is a final approval, not a manual build.
Approval-ready packages, end to end.
Across its run, the agent ingests documents and email, extracts data, summarizes findings, and assembles 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
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
01Compress days into hours across intake to closure.
Claim closure time
02Drive faster, higher-quality file completion.
File readiness
03Adjuster-ready files prepared by the agent, not humans.
Adjuster productivity
04Increase files per FTE without growing headcount.
Cost per claim
05Reduce manual handling and BPO escalation.
LAE reduction
06Lower loss adjustment expense across the lifecycle.
Loss ratio improvement
07Tighter coverage, fraud, and reserve decisions.
Leakage reduction
08Catch missed exposures, recoveries, and pay-without-cause errors.
Fraud detection yield
09Surface higher-confidence fraud signals at intake.
Subrogation recovery capture
10Identify and prepare recoverable files automatically.
Reserve accuracy
11Support timely, evidence-based reserve posting.
SLA attainment
12Meet jurisdictional and contractual deadlines.
Move claims work from doing to approving.
Start with one line of business. Deploy its claims agent, prove the KPI improvement, and expand.