Coverage check

AI coverage check – borderline cases go to your experts.

Is the reported loss covered by the policy? The Aestimo AI Workbench checks it automatically and flags borderline cases for manual review – through an API, directly in your process.

What a coverage check needs.

Complete information to start from

With Aestimo Capture, photos, documents and statements arrive complete. The coverage check does not start with follow-up questions.

Checked as an approved workflow

The check runs with versioned prompts and models. Results are repeatable and traceable in the audit history.

Borderline cases for experts

Clear cases move on; unclear ones are flagged and presented for manual review with all documents.

Related use cases

First claims handling

Coverage check

Checks automatically whether the reported loss is covered by the policy and flags borderline cases for manual review.

Discuss this use case

First claims handling

Requests for missing documents

Detects missing information, documents or photos in claims and applications, drafts the right request to the customer, intermediary or loss adjuster and tracks whether it arrives.

Discuss this use case

Contracts & customer service

Policy-specific answers

Prepares answers to questions about a specific policy – such as how terms apply or whether cancellation is permitted. Draws on the core system, CRM, policy terms and internal rules; the employee reviews and sends.

Discuss this use case

From insurance practice

Awards

Book a demo

Bring one process. We’ll show you where Aestimo fits.

A specific use case is the best starting point.