AI agents for insurance claims
Any tool, any model,any use case.
Triage new claims
Reads each first notice of loss, sets severity and line of business, and routes it to the right adjuster queue. It flags. It never settles.
- Tools
- ClaimCenter
- Model
- Claude Sonnet 5or any approved provider
- Runs
- On first notice of loss
- Limits
- Writes triage fields onlyPII redacted
Tuned for your team
- Your severity bands and routing rules
- Lines of business as ClaimCenter defines them
Enforce claim access, privacyand payment authority in one place.
Acting as
- Agentclaim-summarizer is registered and active
- Callerr.whitaker verified through Entra ID
- Toolget_document is granted on claims-tools
- RuleCLM-20814 is assigned to r.whitaker
Show regulators exactly whichclaim files an agent opened.
| Timestamp | Type | Agent | Acting as | Resource | Outcome | Latency |
|---|---|---|---|---|---|---|
Give examiners evidence,not just a policy.
| Regulation | What it asks | What Dome gives you |
|---|---|---|
NAIC Model Bulletin on AI Systems | What it asks Adopted by more than 20 states: a written AI program, controls over third-party AI, and documentation regulators can review. | What Dome gives you One inventory of agents and the models they reach, rules on what each may do, and an audit record of every call. |
Unfair claims settlement practices laws | What it asks Claims must be investigated and decided fairly and promptly, and regulators expect a person accountable for adverse decisions. | What Dome gives you Agents triage, summarize and flag. Paying or closing a claim is refused to every agent, so adjusters decide. |
Insurance data security laws | What it asks State laws based on the NAIC Insurance Data Security Model Law require protecting nonpublic information, including the health and financial data in claim files. | What Dome gives you A guard strips identifiers from claim documents before a model call, and agents reach only approved models. |
Common questionsabout agents in insurance.
Spend 30 minuteswith our FDE team.
Key topics to discuss:
- Review your AI plans, progress to date, and timeline for agentic projects in production.
- Planning a specific agent, or agentic app, to bring under governance.
- Learning more about our platform capabilities, from gateways to routing.
- Defining agentic operations as repeatable golden pathways for Platform and AppDev teams.
Other industriesDome works in.
AI agents for financial services
KYC reviews, client servicing and SAR narratives. Approvals, money movement and filings stay with your people.
Review onboarding documents
Checks identity and entity documents against your CDD requirements, runs sanctions screening and writes the KYC summary. An analyst approves.
Answer client requests
Reads the client's accounts and open cases and drafts the reply to a servicing request. It never moves money or changes an account.
Draft SAR narratives
Pulls the alert history and transactions for a case and drafts the SAR narrative. An investigator edits it and files.
Answers to
AI agents for gaming and sports betting
Player support, responsible gaming review and bonus setup. Self-exclusions and limits stay out of an agent's reach.
Answer player questions
Looks up a player's account, bets and withdrawal status so a specialist can answer fast. It reads. Balances and limits stay with people.
Review responsible gaming signals
Reviews players flagged for risky play and drafts case notes for the responsible gaming team. It never changes a limit.
Configure bonuses
Sets up deposit matches and free bets from a campaign brief, up to the cap you set. Self-excluded players are never targeted.
Answers to
AI agents in healthcare
Prior authorizations, visit notes and eligibility checks. Agents read only the charts their clinician can read.
Assemble prior authorizations
Pulls the notes, orders and imaging a payer asks for into one authorization packet. A clinician reviews it and submits.
Draft visit notes
Drafts a visit note from the encounter and the chart, in the department's template. The clinician edits it and signs it.
Verify eligibility before the visit
Checks coverage for the next day's appointments overnight. Anything that needs a call before the visit goes to the patient access channel.
Answers to
AI agents for law firms
Conflicts checks, clause extraction and redlines. Every agent acts as the lawyer who asked.
Check new matters for conflicts
Searches Intapp and past matters in iManage for parties that conflict with a proposed engagement. It reports. It never clears a conflict.
Extract clauses from contracts
Pulls parties, dates, renewal and change-of-control terms from the contracts in a matter workspace. Only in matters the requester is staffed on.
Draft redlines against the playbook
Marks up a counterparty draft against your playbook and saves it as a new version. Counsel reviews it and sends it.
Answers to
AI agents for professional services firms
Proposals, staffing and engagement status. Each agent sees only the engagements its consultant works on.
Draft proposals
Reads an RFP and drafts a response from the firm's reuse library. Client names in past work are stripped before the model sees them.
Match staff to engagements
Matches skills and availability to a new engagement's roles and proposes a team. Resource managers make the assignments.
Report engagement status
Reads the project plan and engagement files and drafts the weekly status report. It sees only engagements its consultant is on.
Answers to
AI agents for retail
Order lookups, replenishment and product copy. Refunds, orders and publishing stay with your people.
Answer order questions
Looks up orders, shipments and returns so an associate can answer a customer fast. It reads. Refunds stay with the associate.
Plan replenishment
Forecasts demand by store and drafts purchase orders against par levels. Buyers review them and send them.
Write product copy
Writes product titles and descriptions from supplier data, in your voice, and saves them as drafts. Merchandisers publish.
Answers to
AI agents for software companies
Escalation triage, incident summaries and release notes. Agents read code and incidents. Shipping stays with engineers.
Triage engineering escalations
Reads an escalated ticket and the code it points to, drafts a diagnosis and sets priority. Fixes stay with the engineer.
Summarize incidents
Follows an incident's timeline and recent deploys, drafts status updates and a first postmortem. It never acknowledges, pages or resolves.
Draft release notes
Reads the pull requests merged since the last release and drafts customer-facing notes. The release stays a draft until an engineer publishes it.