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Early Claims Probability Model     |     Risk Scoring Engine     |     AI-driven Underwriting Intelligence    |    Behavioral Pattern Analytics     |     Fraud Detection for Claims     |     Dynamic Questionnaire Generation     |     Continuous Learning Models     |     Rule-based Decision Augmentation     |     End-to-end Claim Risk Engine     |     Predictive AI Models     |     Early Claims Probability Model     |     Risk Scoring Engine     |     AI-driven Underwriting Intelligence    |    Behavioral Pattern Analytics     |     Fraud Detection for Claims     |     Dynamic Questionnaire Generation     |     Continuous Learning Models     |     Rule-based Decision Augmentation     |     End-to-end Claim Risk Engine     |     Predictive AI Models     |     Early Claims Probability Model     |     Risk Scoring Engine     |     AI-driven Underwriting Intelligence    |    Behavioral Pattern Analytics     |     Fraud Detection for Claims     |     Dynamic Questionnaire Generation     |     Continuous Learning Models     |     Rule-based Decision Augmentation     |     End-to-end Claim Risk Engine     |     Predictive AI Models     |     Early Claims Probability Model     |     Risk Scoring Engine     |     AI-driven Underwriting Intelligence    |    Behavioral Pattern Analytics     |     Fraud Detection for Claims     |     Dynamic Questionnaire Generation     |     Continuous Learning Models     |     Rule-based Decision Augmentation     |     End-to-end Claim Risk Engine     |     Predictive AI Models     |     Early Claims Probability Model     |     Risk Scoring Engine     |     AI-driven Underwriting Intelligence    |    Behavioral Pattern Analytics     |     Fraud Detection for Claims     |     Dynamic Questionnaire Generation     |     Continuous Learning Models     |     Rule-based Decision Augmentation     |     End-to-end Claim Risk Engine     |     Predictive AI Models     |     Early Claims Probability Model     |     Risk Scoring Engine     |     AI-driven Underwriting Intelligence    |    Behavioral Pattern Analytics     |     Fraud Detection for Claims     |     Dynamic Questionnaire Generation     |     Continuous Learning Models     |     Rule-based Decision Augmentation     |     End-to-end Claim Risk Engine     |     Predictive AI Models     |    

Key Features of Newgen’s Agentic Claims Automation for General Insurance

AI-driven Damage Assessment & Resource Allocation

Analyze damage severity across Property, Fire, and Marine claims using AI-powered image and sensor data analytics. Automate surveyor dispatch for large-loss claims while fast-tracking digital processing for minor cases, optimizing resource deployment and claims resolution.

Fraud Intelligence & Real-time Risk Scoring

AI-powered fraud models analyze historical claims data, property damage patterns, repair shop behavior, and policyholder risk scores. Intelligent fraud triaging escalates high-risk claims while enabling the seamless processing of genuine claims, reducing revenue leakage and false positives.

AI-driven Fraud Case Management & Recovery Optimization

Detect fraud across Property, Marine, and Fire claims with an AI-powered case management system. Automate fraud identification, case escalation, and litigation workflows, improving fraud detection rates and optimizing recovery efforts.

Predictive Claims Reserving & Capital Optimization

AI-driven claims reserving dynamically adjusts reserve amounts based on real-time property damage, fire risk exposure, and payout trends. Optimizes capital allocation, enhances solvency management, and improves financial accuracy.

Continuous Reserve Validation & Risk Adjustment

Validate reserves against real-time payouts and market shifts. AI-powered reserve monitoring ensures accurate financial forecasting and risk-based solvency management.

AI-driven Damage Assessment & Resource Allocation

Analyze damage severity across Property, Fire, and Marine claims using AI-powered image and sensor data analytics. Automate surveyor dispatch for large-loss claims while fast-tracking digital processing for minor cases, optimizing resource deployment and claims resolution.

Fraud Intelligence & Real-time Risk Scoring

AI-powered fraud models analyze historical claims data, property damage patterns, repair shop behavior, and policyholder risk scores. Intelligent fraud triaging escalates high-risk claims while enabling the seamless processing of genuine claims, reducing revenue leakage and false positives.

AI-driven Fraud Case Management & Recovery Optimization

Detect fraud across Property, Marine, and Fire claims with an AI-powered case management system. Automate fraud identification, case escalation, and litigation workflows, improving fraud detection rates and optimizing recovery efforts.

Predictive Claims Reserving & Capital Optimization

AI-driven claims reserving dynamically adjusts reserve amounts based on real-time property damage, fire risk exposure, and payout trends. Optimizes capital allocation, enhances solvency management, and improves financial accuracy.

Continuous Reserve Validation & Risk Adjustment

Validate reserves against real-time payouts and market shifts. AI-powered reserve monitoring ensures accurate financial forecasting and risk-based solvency management.

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Built-in AI models for General Insurers

AI-powered Property Damage Assessment Model

Leverages AI and geospatial data to assess property damage post-disaster, automating claim categorization, repair cost estimation, and surveyor dispatch. Improves efficiency in large-loss claims management.

AI-driven Fire & Marine Fraud Prevention Model

Detects fraudulent claims in fire and marine insurance by analyzing claim irregularities, repair shop collusions, and false loss reports. Ensures real-time fraud mitigation.

Predictive Marine Cargo Loss Reserving Model

AI forecasts marine cargo loss reserves by analyzing shipment routes, weather conditions, and historical loss patterns. It adjusts dynamically for real-time accuracy.

Smart FNOL Triage & Risk-Based Claims Processing Model

AI auto-triages claims based on FNOL insights, policy conditions, and historical claim behaviors. It enables risk-based automated or manual claims workflows for faster settlements.

AI-powered Property Damage Assessment Model

Leverages AI and geospatial data to assess property damage post-disaster, automating claim categorization, repair cost estimation, and surveyor dispatch. Improves efficiency in large-loss claims management.

AI-driven Fire & Marine Fraud Prevention Model

Detects fraudulent claims in fire and marine insurance by analyzing claim irregularities, repair shop collusions, and false loss reports. Ensures real-time fraud mitigation.

Predictive Marine Cargo Loss Reserving Model

AI forecasts marine cargo loss reserves by analyzing shipment routes, weather conditions, and historical loss patterns. It adjusts dynamically for real-time accuracy.

Smart FNOL Triage & Risk-Based Claims Processing Model

AI auto-triages claims based on FNOL insights, policy conditions, and historical claim behaviors. It enables risk-based automated or manual claims workflows for faster settlements.

Non-journey Use Cases for Insurance

Centralized product configurator standardizes insurance rules, ensuring consistency, efficiency, and seamless integration.

Core rules & rating engine centralizes underwriting and claims rules, automating manual evaluations efficiently.

Stateless journey orchestration engine streamlines customer journeys by seamlessly centralizing decisioning across systems.

Cash & receipt management automates collections, reconciliation, and tracking, reducing manual effort and errors.

Fraud engine detects fraud risk in onboarding and claims using standardized rules and data models.

Integrated AI-powered content workbench enables seamless content access and operations within core insurance systems.

Communications hub automates multi-channel customer communications across onboarding, underwriting, claims, renewals, and servicing.

Template Manager automates policy kits and letters, standardizing document generation with rule-based templates.

Find Your Winning Strategy with Newgen

Discover how Newgen empowers life insurers with predictive models to enhance underwriting, mitigate fraud, and drive faster, smarter claims decisions.

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