Run complex claims investigations from a single workspace — no more 7-tab juggle. Paste your FNOL, police report, medical records, repair estimates, and recorded statement transcripts into chat, and the agent organizes the file, applies 40+ industry-standard fraud indicators with risk scoring, and drafts the documentation work that drains your billable hours. ## What's included - **8-page workspace** — Chat, Active Claims, Investigation Dashboard, Investigation Reports, SIU Referral Packets, Investigation Activity (audit log), Preferences, About - **40+ fraud indicator scan** with evidence-backed scoring (Low/Medium/High/Extreme) — claimant behavior, vehicle/auto, property/fire, medical/BI, third-party/liability, systemic patterns - **Active claim tracker** — every open claim with reporting lag, risk score, indicator count, reserve, deadline urgency - **Recorded statement summarization** — paste a transcript, get key admissions, contradictions flagged, action items extracted (with two-party-consent gating) - **Investigation report drafter** — field/desk/supplemental/final templates with coverage summary, findings, fraud assessment, next steps, outstanding items - **SIU referral packet builder** — narrative summary, indicator scorecard, evidence index, recommended SIU techniques, NICB referral guidance - **Coverage analysis flagging** — triggers, exclusions, conditions surfaced as questions (never determinations) - **Multi-line support** — auto, property, liability, fire, BI, workers' comp - **Investigation Activity log** — every claim opened, fraud scan run, report drafted, referral filed (chronological audit trail) - **Regulatory disclaimer footer** — every output ends with the licensure/UPL/HIPAA/recording-consent/NICB disclaimers - **Isolated ironclaw container** — PHI does not leave your environment, not used for AI training ## Limitations - **Chat-only paste-in** — you copy claim facts and transcript text into chat (no PDF/photo upload, no direct ISO ClaimSearch / LexisNexis / NICB access) - **Not a coverage decision-maker** — surfaces coverage questions, never declares granted or denied - **Not legal counsel** — every output is a DRAFT requiring licensed adjuster review before use in a claim file - **Not a CMS** — pairs with Guidewire / Duck Creek / claims-management systems, does not replace them - **U.S.-focused** — fraud indicator framework calibrated for U.S. carrier and SIU standards (some GDPR consent rules surfaced) ## Best fit Independent adjusters and small carrier SIU teams handling 20-100 complex claims/month. Typical recovery is 4-6 hours of documentation work per complex BI/property/liability claim — the agent absorbs the report drafting, indicator checklist, and referral packet assembly so you focus on investigation and decision-making.
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