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CaseFlowAI

AI Assistant for Insurance Claims Automation

Turn incoming claims into review-ready files. Your team keeps the final say.

Discuss your workflow, integration needs and pricing with our team.

Claims Intake
All claims Newest first
RowClaimSourceClaimantFilled by the CaseFlow agentPolicy No.Filled by the CaseFlow agentClaim typeFilled by the CaseFlow agentFilesValidationFilled by the CaseFlow agentAssigned toFilled by the CaseFlow agentStatus
1CLM-24-08812 Web formGrace LiuRN-2045-7781Renters · TheftPDFPDFAll verifiedMCMaya ChenReady for review
2CLM-24-08806 EmailTomás RiveraPA-6120-3398Auto · CollisionPDFDate conflictLOLuis OrtegaException
3CLM-24-08801 Agent noteNorthwind Bakery LLCBOP-7702-1150Commercial · FireDOC2 missing docsUnassignedAwaiting docs
4CLM-24-08795 APIEvelyn BrooksHO-1187-4420-07Property · Wind/HailPDFAll verifiedMCMaya ChenSynced
4 recordsAgent watching the claims inbox

See one claim go from inbox to review.

The agent prepares the file. Your team makes one decision.

Claims Intake
Intake queue
  1. 1Received
  2. 2Mapping
  3. 3Missing info
  4. 4Ready

Claims inbox

Waiting for a new claim…

New email · claims inbox
DW

Dana Whitfield

Claim: water damage to kitchen ceiling

A pipe burst upstairs on March 14 and water came through the kitchen ceiling. My policy is HO-4471-2290-18. The claim form and photos are attached.

Attachments

Put your intake workflow on CaseFlow AI.

Talk to our sales team about fit, the integrations you need, what implementation involves and pricing for your operation.

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  1. 1

    Workflow review

    Your channels, claim types, volumes and the decisions that stay with your team.

  2. 2

    Configuration & integrations

    Fields, validation rules, routing and the connections to your systems.

  3. 3

    Go-live with your reviewers

    Results checked together before CaseFlow handles live intake.

Let AI handle routine work. Give your team the exceptions.

CaseFlow AI doesn't just extract data. It prepares the work and puts in front of your people only the claims that genuinely need their judgment.

Claims Intake
Exception queue Filter
RowClaimClaimantClaim typeFilled by the CaseFlow agentChannelException reasonFilled by the CaseFlow agentFlagsFilled by the CaseFlow agentFilesOwnerAgeStatus
1Dana WhitfieldProperty · Water EmailRepair estimate required by rule PROP-07 was not found in the submission. 1PDFMCMaya Chen12mMissing Information
2Oakridge Dental GroupCommercial Property · Theft EmailPolice report number referenced but no report attached; inventory list incomplete. 2PDFUnassigned1hMissing Information
3Marcus BellAuto · Physical Damage Web formIncident date differs between the submission message (Apr 2) and the FNOL form (Apr 3). 2PDFLOLuis Ortega34mValidation Failed
4Kevin O'HaraAuto · Glass EmailPossible duplicate: an open claim exists on this policy with the same date of loss. 1DOCLOLuis Ortega3hValidation Failed
5Harbor & Pine Outfitters LLCGL · Bodily Injury Agent noteBodily injury reported. Rule LIAB-02 requires human review before any record is synced. 1PDFDOCPNPriya Nair1hManual Review Required
6Alicia MorenoProperty · Wind/Hail Web formAll required fields extracted and validated. Awaiting reviewer confirmation before sync.0PDF+1MCMaya Chen2hReady for Processing
6 records5 need a decision

AI-powered automation. Built around verification.

Every AI output is treated as a proposal that has to pass your checks. No AI system is 100% accurate, so errors are caught and corrected by people before they matter.

  • Evidence-based extraction

    Every field keeps a link to the document and location it came from.

  • Structured validation

    Results must match the schemas and rules your organization configures.

  • Cross-system verification

    Where you authorize it, data is checked against your own policy and claims systems.

  • Exception detection

    Missing, contradictory or unverified data is flagged, never silently accepted.

  • Human approval

    Situations that need oversight go to the right reviewer with the evidence attached.

  • Controlled synchronization

    Records reach internal systems only after your validations and approvals.

Every claim that doesn't need a person moves on its own. Every claim that does arrives with the evidence, the reason and a recommended next step.

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One intelligent workflow. From intake to internal review.

Insurance claims intake shouldn't slow your team down. CaseFlow AI connects the steps that usually live in inboxes, spreadsheets and hand-offs.

Fragmented submissions

Emails, forms, PDFs and call notes that someone has to consolidate by hand.

Manual data entry

Reviewing documents, re-keying fields and chasing what's missing.

Disconnected workflows

Manual assignment and systems that don't talk, so claims wait.

  1. 1

    Collect

    Claims from email, web forms, documents, agent notes and API submissions land in one intake queue.

    • Omnichannel claims intake
  2. 2

    Extract

    The agent turns each submission into the fields your team uses, including custom fields, with a link to the evidence.

    • Intelligent document processing
  3. 3

    Validate

    Missing fields, contradictions and possible duplicates are caught and checked against the systems you authorize.

    • Automated data validation
  4. 4

    Classify & route

    Claims are categorized by your rules and assigned to the right team, and follow-ups for missing information are drafted.

    • Classification & routing
    • AI-powered follow-ups
  5. 5

    Review & sync

    People decide the exceptions; only approved records reach your claims system, with every step on the audit trail.

    • Human approval & escalation
    • Claims system integrations
    • Searchable audit trails

Built for insurance operations. Configurable for your workflows.

Designed first for carriers and TPAs. Each organization configures its own fields, procedures, validation rules and integrations on the same engine.

Insurance Carriers

Adjusters start from a complete, validated file instead of an inbox. CaseFlow AI takes first notice of loss from every channel, checks policy data through your APIs and sends exceptions to the right desk.

  • FNOL from email, forms, documents and agents
  • Policy and claimant checks through your authorized APIs
  • Adjuster-ready records with source evidence
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Third-Party Administrators

Handle high volumes across clients without re-keying. Each client keeps its own fields and rules while files are classified and distributed across your reviewers.

  • Per-client fields, rules and queues
  • Automatic classification and routing
  • Client-level audit trails
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The same engine also fits claims-heavy teams at

Insurance Brokers

Collect documents, prepare complete claim files for carriers and follow up on what's missing.

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Restoration Companies

Match jobs to claims and turn invoices, reports and photos into carrier-ready packages.

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Works with your existing claims infrastructure.

CaseFlow AI sits in front of the systems you already run. It prepares clean, approved records and hands them off, with no rip-and-replace of your core platform.

Email inbox
Web forms
PDF & images
Agent notes

CaseFlow AI

Extract · validate · route

Claims system
Policy admin
Reviewer queues
Data warehouse
Included

Email

Forward or connect a claims inbox. Messages and attachments become intake records.

Included

Web Forms

Hosted or embedded claim forms mapped to your own field templates.

Included

REST APIs

Submit claims and retrieve structured records programmatically.

Included

Webhooks

Notify your systems when a claim is validated, routed, or approved.

Set up during implementation

Claims Management Systems

Deliver approved records into your existing platform through the interfaces it exposes.

Set up during implementation

Policy Administration Systems

Verify policy and insured data through the APIs your organization authorizes.

Connections to claims and policy systems are scoped with your team before contracting and delivered as part of implementation, using the interfaces your systems expose. We don't claim pre-built connectors to any specific vendor.

Designed for secure and accountable operations.

Security controls for your claims operations.

Tenant Data Isolation

Each organization's claims, configuration and records are kept logically separated from every other customer.

Role-Based Access Control

Access to claims, actions and settings is scoped to roles your administrators define.

Encryption

Data is encrypted in transit and at rest.

Controlled API Access

The platform connects only to the systems and scopes each organization explicitly authorizes.

Audit Logging

Automated actions and human interventions are logged and attributable.

Human Approval Controls

Sensitive steps require an authorized person. The platform never approves claims, denies coverage or sets indemnity.

Talk to our sales team.

Tell us about your team. We'll discuss how CaseFlow fits your claims workflow, the integrations you need and pricing for your operation.

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Work email preferred.

Our team will reply by email to coordinate a conversation.

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Questions from claims leaders.

Straight answers about what CaseFlow AI does — and what it deliberately doesn't.

Our sales team replies by email to set up a conversation. We look at your intake channels, claim types and volume, the systems you need to connect, what implementation involves and pricing for your operation. Nothing is booked automatically.