Resolve claims in days, catch fraud before payment, prove every decision.
AI triage at FNOL, confidence-gated auto-adjudication, fraud and SIU scoring, document intelligence and automated death claims — with reserving, recovery and a tamper-evident evidence chain on the same engine.
Claims command center
Straight-through
68%
↑ +12ptsAvg cycle time
3.1d
↑ -2.4dFraud caught
$4.2M
↑ +0.9MLeakage
1.7%
↑ -0.6ptsClaims throughput · last 8 weeks
Activity
- now
Cortex Flagged CL-48217 — 0.91 fraud-ring similarity
- 3m
Adjuster Approved 14 low-complexity auto claims
- 12m
SIU Opened case from linked claims cluster
- 26m
Subrogation Recovery opportunity surfaced: $82k
AegisNow gives claims organisations an end-to-end engine from FNOL to recovery: AI triage at first notice of loss, confidence-gated straight-through processing for clean claims, fraud scoring with network analysis and SIU referral, document intelligence for certificates and medical records, and Smart Claims for Life death-claim automation. Case, IBNR and ultimate reserving plus subrogation and reinsurance recovery run on the same platform, and every adjudication is captured on a tamper-evident evidence chain.
Who it’s for
For chief claims officers.
- SOC 2 Type II / ISO 27001-aligned controls
- One governed core across every module
- Cortex AI proposes; a human always approves
Why this breaks today
Claims teams handle every claim manually regardless of complexity, fraud surfaces only after payment, documents are keyed by hand, and the rationale behind each decision is hard to reconstruct for disputes, prompt-pay reviews or market-conduct exams.
AegisNow replaces that fragmentation with one governed core — a shared data fabric, the Cortex AI brain and a tamper-evident evidence ledger — so straight-through claims work runs as a single, continuous, auditable operation.
Wired to the modules that deliver it
Straight-Through Claims runs on these composable modules — each sharing the same data fabric, Cortex brain and evidence ledger, so coverage compounds instead of fragmenting.
Smart Claims
Every decision on the file has an author, a rule and a record.
Learn moreCortex AI
AI that drafts and assists across insurance — but never decides ungoverned.
Learn moreCustomer 360
One view of every policyholder, household and interaction.
Learn moreActuarial Platform
Every assumption versioned, every run reproducible, every sign-off logged — and uncertified data refused.
Learn moreWhat you get
Concrete results a buyer can expect — each tied to a capability on the governed platform.
Straight-through processing for clean claims, specialists for the rest
Fraud and SIU referral before payment, with network analysis
Document intelligence that reads certificates, records and estimates
Clean death claims settled in days via Smart Claims for Life
Case, IBNR and ultimate reserving with an AI forecaster
A tamper-evident evidence chain behind every decision
Common questions, answered
What teams evaluating straight-through claims on AegisNow ask most.
See Straight-Through Claims run on one governed brain
Book a working session and we'll map your role, frameworks and stack onto AegisNow — and show Cortex reasoning over them live.