Press enter or space to select a node.You can then use the arrow keys to move the node around. Press delete to remove it and escape to cancel.
Press enter or space to select an edge. You can then press delete to remove it or escape to cancel.
About This Automation
Claims support and coordination involves receiving claim notifications, extracting data, locating documents, and routing claims to adjusters. Manual handling creates delays, data entry errors, and duplicate work across multiple systems.
Automation reads incoming claims, extracts structured data, retrieves supporting documents, and creates case records automatically. Status updates flow to clients and insurers on schedule, reducing processing time from hours to minutes.
Key features:
Extract claim data automatically from emails and portals into case records
Locate and compile supporting documents from email and cloud storage
Route claims to the right adjuster based on claim type and workload
Send status updates to clients and insurers on a defined schedule
Track claim progress and flag overdue items for follow-up
Flag incomplete or ambiguous claims for human review
The issues teams report most often with this process
#
Friction point
Companies Report This
1
Manual data extraction
Coordinator manually copies claim details from email into spreadsheet and case system, introducing typos and delays.
80%
2
Document search across systems
Supporting documents are scattered across email, cloud storage, and insurer portals, requiring time-consuming manual searches.
67%
3
Duplicate data entry
Claim information is entered multiple times into case system, tracking spreadsheet, and insurer portal.
53%
4
Manual assignment and routing
Coordinator must decide which adjuster gets each claim and notify them via email or chat.
40%
5
Forgotten follow-ups
Manual calendar reminders are easy to miss, causing delays in client and insurer communication.
26%
DisclaimerAll data is based on anonymized FullSpec mapping sessions and proprietary industry research. Learn more
Automation readiness
How well-suited this process is for automation
Process Pain Score™Manual data entry, document hunting, and duplicate logging consume 55 minutes.
8.9/ 10
AI Fit Rating™Structured email parsing, document search, and rule-based routing are ideal for.
8.7/ 10
Automation Lift Index™Automation reduces per-claim time by 90 percent and eliminates data re-entry.
8.5/ 10
Hidden Overhead™Context switching between email, spreadsheets, and case system adds cognitive.
7.3/ 10
How The Automation Works
The full workflow, from trigger to completion.
Press enter or space to select a node.You can then use the arrow keys to move the node around. Press delete to remove it and escape to cancel.
Press enter or space to select an edge. You can then press delete to remove it or escape to cancel.
1. Claim Email Receivedtrigger
A new claim notification arrives in the inbox or is submitted via the client portal. The automation platform detects the email and extracts the sender, subject, and body.
2. Parse Claim Details
The automation reads the email body and extracts structured data: policyholder name, claim amount, date of loss, claim type, and insurer name. It flags missing or unclear fields.
3. Retrieve Documents from Email and Cloud
The automation downloads attachments from the email and queries cloud storage (Google Drive, OneDrive) for related documents using claim number or policyholder name as the search key.
4. Create Case
A new case record is created with all extracted claim details, linked documents, and insurer contact information. The record is tagged by claim type and insurer.
5. Assign to Adjuster
The automation assigns the case to the appropriate adjuster based on claim type and current workload, and sends a notification with a link to the case.
6. Send Client Confirmation
An automated email is sent to the client confirming receipt of the claim, providing a reference number, and setting expectations for next steps and timeline.
7. Notify Insurer
Claim details and documents are sent to the insurer via email or API, formatted according to insurer requirements, with a summary of what was submitted.
8. Log to Tracking Sheet
A row is added to the master tracking spreadsheet with claim ID, status, dates, and next action, pulling data directly case record.
Everything you need to know before mapping this process.
The automation flags incomplete or ambiguous claims and routes them to a coordinator for manual review and clarification before proceeding to case creation.