Claims Processing

300 claims triaged per shift

Coasty handles claims intake and triage by operating your claims platform the way an examiner does, on screen. It reads first-notice-of-loss forms, adjuster notes, police reports, photos, and supporting PDFs, then logs into your policy administration and claims systems to confirm the policy is active, the loss is in scope, and coverage limits apply. It sets up the claim, attaches documents, assigns it to the correct queue by line of business and severity, and pauses for an adjuster or examiner to approve anything that affects reserves, coverage, or payment. There is no API and no connector to your core system. When a form layout changes or a screen updates, Coasty reads the new state and adapts, verifying each entry against the screen and keeping a full record of the run for audit and compliance.

300claims triaged per shift

How it works

  1. 01

    Coasty reads the claim intake

    It opens each first-notice-of-loss, email, or document package and reads the details on screen, including scanned forms, adjuster notes, and photos, pulling claimant, policy number, loss date, cause, and estimated severity.

  2. 02

    It validates against the policy

    The agent logs into your policy administration and claims systems, confirms the policy was active on the loss date, checks that the peril is covered, and compares the claim against limits, deductibles, and exclusions on file.

  3. 03

    The claim is set up and routed

    Coasty creates the claim in your existing system, attaches the documents, and assigns it to the right adjuster queue by line of business, complexity, and severity, reading back each field to confirm it was entered correctly.

  4. 04

    Sensitive steps wait for sign-off

    Coverage questions, suspected fraud indicators, missing documentation, and anything touching reserves or payment are flagged with the reason and evidence, and an adjuster or examiner approves before the claim advances.

What you get

First-notice-of-loss and documents read and structured for each claim
Coverage and eligibility validated against the policy on file
Claim created in your existing claims system with documents attached
Routing to the correct adjuster queue by line and severity
Exception and suspected-fraud items held with evidence for review
Full step-by-step audit trail with human approval on sensitive steps

Try it yourself

Example prompt

Triage today's first-notice-of-loss submissions. For each one, read the intake and any attached documents, look up the policy in our system, confirm it was active on the loss date and that the loss is covered within limits, then create the claim and assign it to the right adjuster queue by severity. Flag any coverage questions, missing documents, or possible fraud for an examiner, and do not touch reserves or payment without sign-off.

Common questions

Ready to get started?

300claims triaged per shift
Claims Processing - Coasty AI Agent