MEET YOUR CLAIMS SPECIALIST SAMPrepare complete claims files and identify missing evidence.
Configure this SAM around your business procedures, approved knowledge and connected tools. Start with a focused workflow and expand its responsibilities as the results justify it.
Design this SAMDescription
The Claims Specialist SAM is a Digital Employee for finance teams. Its job: prepare complete claims files and identify missing evidence. It works from your approved knowledge, keeps a memory of past conversations and hands decisions to the people you name.
Use cases
- Register claimHandled by the Claims Specialist SAM and logged for your review.
- check coverage documentsHandled by the Claims Specialist SAM and logged for your review.
- request evidenceHandled by the Claims Specialist SAM and logged for your review.
- draft assessmentHandled by the Claims Specialist SAM and logged for your review.
How this SAM helps
Register claim → check coverage documents → request evidence → draft assessment
Knowledge it needs
Add the procedures, examples and exceptions relevant to this role. Assign an owner to keep that guidance current.
You set the authority
No coverage denial, settlement or payment without authorised reviewer
Track the result
Claim file completeness
Emotional intelligence
This SAM includes ANNA's emotional-awareness layer. Sentiment recognition reads tone, words and context so it can slow down for an anxious customer, acknowledge frustration and hand over to a named person when a conversation needs a human touch.
- Powered by ANNA — Advanced Neural Network Architecture
- Directed and governed by your AIM System
- Human approval kept for binding decisions
- Full analytics and audit trail
How to reach this SAM
Reach this SAM — and let it reach your customers and team — through the channels you switch on. Access is scoped to the role and the actions you authorise.
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- EmailConfigured to your procedures, permissions and connected systems.
- Web chatConfigured to your procedures, permissions and connected systems.
- WhatsApp BusinessConfigured to your procedures, permissions and connected systems.
- Microsoft TeamsConfigured to your procedures, permissions and connected systems.
- Human handoverConfigured to your procedures, permissions and connected systems.
- Custom channelsConfigured to your procedures, permissions and connected systems.
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Start a conversation about claims specialist.
Tell us what you want to improve. Your enquiry will go directly to the AIIT team in Auckland.