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Claims Intake Processor

n8n Insurance insuranceclaimsfnolintakeadjuster-routingfraud-detectionseverity-assessment

Automates first notice of loss (FNOL) processing. AI extracts claim details from calls, emails, and forms, then routes to the right adjuster with a pre-filled claim file.

Streamline your claims intake from first notice of loss to adjuster assignment. This workflow captures FNOL submissions from all channels — phone call transcripts, email reports, web forms, and mobile app submissions — and uses AI to extract and structure all claim-relevant information. The AI identifies claim type (auto, property, liability, workers comp), involved parties, incident details, damages, injuries, policy numbers, and coverage verification. It cross-references the reported policy against your policy administration system to verify active coverage and applicable endorsements. Obvious coverage exclusions or policy lapses are flagged immediately. Pre-filled claim files are created in your claims management system with all extracted data, relevant policy details, and an AI-generated initial assessment including estimated severity, reserve recommendation, and fraud risk indicators. The routing engine assigns the claim to an adjuster based on claim type, complexity, geographic territory, and current workload. Average FNOL processing time drops from 25 minutes to under 3 minutes.
3Downloads
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22 hours/weekTime Saved
n8nPlatform

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{ "name": "Claims Intake Processor", "nodes": [ { "id": "webhook", "type": "n8n-nodes-base.webhook", "name": "FNOL Submission", "position": [ 250, 300 ], "parameters": { "path": "claims-intake", "method": "POST" } }, { "id": "detectChannel", "type": "n8n-nodes-base.switch", "name": "Detect Input Channel", "position": [ 450, 300 ], "parameters": { "rules": [ { "value": "={{$json.channel}}", "output": 0, "operation": "equal", "value2": "phone" }, { "value": "={{$json.channel}}", "output": 1, "operation": "equal", "value2": "email" } ] } }, { "id": "transcribe", "type": "n8n-nodes-base.openAi", "name": "Transcribe Call Audio", "position": [ 650, 200 ], "parameters": { ... truncated (271 lines total)
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Tags

insuranceclaimsfnolintakeadjuster-routingfraud-detectionseverity-assessment