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DIGITAL EMPLOYEE · DE-23 · SERVICE, INSURANCE & HR

AEGIS

Insurance Claim-to-Decision Operations Specialist
Reported claimDecision-ready file

Move a reported claim to a complete, decision-ready file and controlled closure.

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SOLIDPRODIGITAL EMPLOYEE
AEGISInsurance Claim-to-Decision Operations SpecialistDE-23
THE JOBReported claim → Decision-ready file
ON DUTY
WHAT IS A DIGITAL EMPLOYEE?

One complete working system, combining automation, AI and your business rules, that runs a job from request to result. It does the repetitive work of several people, inside your systems, under your rules, without dropping a step.

THE PROBLEM IT SOLVES

Incomplete evidence and scattered assessor communication delay decisions and claimants.

WHEN IT STARTS

A first notice of loss (FNOL) or claims submission is received.

WHERE IT FITS

General insurers, TPAs and claims-administration teams.

WATCH IT WORK

One job, five steps, start to finish.

1

Register FNOL, policy reference, incident facts and claim documents.

PERFORM
2

Check required evidence and approved policy-rule flags; request missing items.

PERFORM
3

Route to adjusters/assessors and flag suspicious or ambiguous cases.

COORDINATE
4

Assemble the assessment-ready file with a traceable evidence chronology.

PERFORM
5

After authorised decision, prepare notices and track settlement/closure records.

MANAGE
WHAT YOU GET, EVERY TIME

Decision-ready claim file, communication trail and approved closure/settlement status.

WHAT STAYS WITH YOUR PEOPLE

Coverage/liability decisions, fraud findings and settlement authorisation.

HOW IT IS MEASURED

Reported to its manager every month.

Claim cycle time
Evidence completion time
Open-claim ageing
HIRE AEGIS

Start with one job.
See the numbers before you commit.

We assess this job on your process, write its Job Card and prove it in a pilot beside your team.

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