// INDUSTRIES / INSURANCE
A claim doesn't wait for business hours. Neither does the agent.
From filing to triage, with the policy rule consulted, the decision recorded and every step auditable for SUSEP.
// TESSERA IN INDUSTRIES
Agents that file, triage and answer claims inside your perimeter, with every decision auditable for SUSEP.
Tessera is the AgentOS where the claims team gains scale without losing judgment: the policy rule holds, the regulatory deadline is monitored and the cost per claim is known before it runs.
Autonomous claim filing and triage
The agent files the claim in the policyholder's channel, collects the documents, triages by complexity and escalates to a human adjuster only when policy requires.
- 01
Receives
Claim notice through the policyholder's channel
- 02
Identifies
Policy, coverage and validity on the date of the event
- 03
Collects
Required documents, checking what's missing
- 04
Triages
Complexity, value and fraud indicators
- 05
Escalates
To a human adjuster when policy requires
// OUR EDGE
Policy rules applied the same way, claim after claim.
The policy is the rule. The agent doesn't improvise.
In insurance, a wrong answer doesn't become a complaint: it becomes a liability. The agent consults the policy in force on the date of the event, applies that version's rule and cites which one it used. An old claim recalculated today gives the same result.
Documents arrive crooked. The decision has to come out straight.
A photo of a police report, a scanned PDF appraisal, a crumpled invoice. The agent extracts, checks against the policy and flags what doesn't match, instead of rejecting on format.
// OTHER AGENTS IN THIS VERTICAL
Tessera operates multiple specialized agents across the claim cycle, each with its own harness, governance and cost per execution.
Underwriting
Assisted risk analysis and pricing
Doc. AI
Reading and checking claim documents
Renewal
Policy retention in the renewal window
Adjustment
Support for the adjuster with organized evidence
Anti-fraud
Indicator detection and blocking before payment
// AUDIT
SUSEP will want to see it. The agent already recorded it.
Every decision with a traceable reason. Mandatory AI disclosure at the start of every conversation. Immutable audit trail per execution, no black box.
// DATA SOVEREIGNTY
The policyholder data stays where you say.
Cloud, isolated cloud or BYOC. The agent runs inside your cloud and no customer data travels outside your perimeter.
// FINOPS
Cost per claim. Not per team.
Every execution with a known cost before it runs. Configurable cap per execution. Scale claim volume without scaling the adjustment team.
Ready for agents that decide and execute?
See Tessera working in your context.
Ready to triage claims at the policyholder's speed?
Book a briefing with our insurance engineering team.
- 01Choose the operation
- 02Run the Readiness Assessment
- 03Put Tessera and the team live
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