Use Cases

FNOL Triage Automation

Automate first notice triage with policy verification, fraud scoring, and FAST_TRACK routing while licensed adjusters authorize reserves and status changes.

What problem does FNOL Triage Automation solve?

Automate first notice triage with policy verification, fraud scoring, and FAST_TRACK routing while licensed adjusters authorize reserves and status changes.

ClaimGPT ECO-AI applies MCP tools across FNOL, investigation, policy analysis, and settlement prep with licensed adjuster authorization on material actions.

Which tools support this use case?

orchestrate_claim_workspace, run_fnol_triage, extract_document_data, run_fraud_analytics, query_policy_system, and draft_communication cover most lifecycle needs.

See /developer to connect tools inside ChatGPT and /api for direct Claims API access where configured.

Frequently Asked Questions

How does ClaimGPT help with FNOL Triage Automation?
ECO-AI invokes governed MCP tools for triage, policy lookup, fraud analytics, document extraction, and draft communications inside ChatGPT.
Do AI recommendations replace licensed adjusters?
No. Binding reserves, status updates, and outbound communications require explicit adjuster authorization.
Where can I connect ClaimGPT?
Visit /developer for ChatGPT MCP setup or /enterprise for architecture review with your integration team.