Claude Partner NetworkOfficial Anthropic partnerOperations · Execution

Claims Adjusting Agent

Receives the first notice of loss, organizes documents and reports, checks them against the policy and prepares the adjuster's recommendation.

Autonomy level 2 · CopilotBuilt for InsuranceRolled out with Luby governance
In short

What the Claims Adjusting Agent is.

The Claims Adjusting Agent is a Luby AI agent for Operations, built for Insurance. Receives the first notice of loss, organizes documents and reports, checks them against the policy and prepares the adjuster's recommendation. It runs at autonomy level 2 (copilot): prepares the complete action and a person confirms every run.

How it works

From request to result, step by step.

An illustration of how the agent works. In a project, each step is designed around your process and your systems.

Inputs
First notice of loss and documents
Policy and terms
Claims Adjusting Agent
  1. 1Receives the FNOL and opens the claim
  2. 2Gathers documents, photos and reports
  3. 3Checks coverage, deductible and exclusions
  4. 4Issues a recommendation for human decision
Guardrails · decision log · approval limits
Human in the loop
Human approvalconfirms every run
Outcomes
Adjuster recommendation
Requests to the insured
Pain points it solves

Where this agent makes a difference.

Insurance

Slow claims handling

Documents, inspections and reports pass through many hands before the payment.

Regional P&C Carriers

First notice of loss

FNOL calls spike after storms.

Third-Party Administrators (TPAs)

Claim intake

Claims arrive by email, fax and portal.

Third-Party Administrators (TPAs)

Adjuster workload

Adjusters spend more time on documents than decisions.

Business outcomes

What changes in your operation.

Outcome

Claims settled faster

Outcome

Fewer complaints about delays

Outcome

Decisions backed by evidence

Where it applies

Industries

Departments

Level 2 · Copilot. Prepares the complete action and a person confirms every run.

Every decision is logged with evidence, there are approval limits and the agent can be paused at any time. See also the technical foundation behind the agents.

Related

Agents that work together.

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All industriesAutonomy 1 · Assistant
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Shift Handover Agent

Consolidates what happened during the shift (downtime, open items, work orders and safety alerts) into a standard handover report the lead reviews before passing it on.

All industriesAutonomy 2 · Copilot
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FAQ

Questions about the Claims Adjusting Agent.

What does the Claims Adjusting Agent do?

Receives the first notice of loss, organizes documents and reports, checks them against the policy and prepares the adjuster's recommendation. Steps: receives the FNOL and opens the claim; gathers documents, photos and reports; checks coverage, deductible and exclusions; issues a recommendation for human decision.

Does the Claims Adjusting Agent replace people?

It isn't designed to. It runs at autonomy level 2 (copilot): Prepares the complete action and a person confirms every run. High-impact decisions stay with your team, with approval limits, an audit trail and an immediate kill switch.

What results does the Claims Adjusting Agent deliver?

Claims settled faster; Fewer complaints about delays; Decisions backed by evidence.

Which industries does the Claims Adjusting Agent apply to?

Insurance, in Operations.

Talk to an AI architect

Could the Claims Adjusting Agent work in your company?

Tell us where it would run. An AI architect checks the fit with your process and systems and sends you the top opportunities.

  • 1
    A senior architect, not an SDR30 minutes with someone who has shipped agents to production.
  • 2
    Your top 3 agent opportunitiesRanked by payback, with the systems and approvals each one needs.
  • 3
    No commitmentYou keep the shortlist whether or not you work with Luby.

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