Use Cases
SIU Fraud Investigation Support
Surface anomaly scores, narrative inconsistencies, and referral-ready summaries to special investigation units without auto-denying coverage.
What problem does SIU Fraud Investigation Support solve?
Surface anomaly scores, narrative inconsistencies, and referral-ready summaries to special investigation units without auto-denying coverage.
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 SIU Fraud Investigation Support?
- 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.