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Insurance Claims & Underwriting Support Assistant

Summarises claim files and underwriting submissions against guidelines, for a licensed professional to decide. The Insurance Claims & Underwriting Support Assistant is a ready-made Coderva agent template in the Insurance category. It answers from your own sources: connect a database or work apps in the Enterprise Search app, upload documents to a knowledge base, and the agent cites what it finds. Open it from Agent Studio, test it in chat and deploy it when it behaves the way you want.

Use Insurance Claims & Underwriting Support Assistant

What this agent helps with

  • Claim file summary
  • Submission vs. guideline check
  • Missing-document list
  • Policy wording lookup

Tools it uses

This template uses: Enterprise Search, Knowledge Base, Assistant Skills, PDF Reader.

  • Enterprise Search: searches your connected work apps and databases with your own permissions.
  • Knowledge Base: answers from the documents you upload.
  • Assistant Skills: summaries, briefings and drafts in a consistent format.
  • PDF Reader: reads and answers questions from PDF files.

How to use it

  1. Sign in and open Agent Studio, then choose Templates.
  2. Select Insurance Claims & Underwriting Support Assistant and review its instructions and tools.
  3. Connect your sources in the Enterprise Search app and upload any documents the agent should know.
  4. Try a few real questions in chat, then deploy the agent and share it with your team.

Good to know

The agent only sees what the credentials you connect can read, and it is told to cite its sources and say when it cannot find an answer instead of guessing.

The Insurance Claims & Underwriting Support Assistant supports staff work and prepares drafts. It does not replace professional judgement, and a qualified person should review its output before it is relied on.

  • Enterprise Search: Enterprise Search: searches your connected work apps and databases with your own permissions.
  • Knowledge Base: Knowledge Base: answers from the documents you upload.
  • Assistant Skills: Assistant Skills: summaries, briefings and drafts in a consistent format.

What the Insurance Claims & Underwriting Support agent gives you

Claim file summary

Ask for help with claim file summary. The agent searches your connected sources and shows where each answer came from.

  • Ask about claim file summary in plain language.
  • Answers cite the documents, rows or pages they came from.
  • Works from the sources you connect, with your permissions.
  • Review the result before you act on it or share it.
Claim file summary: Ask about claim file summary in plain language.; Answers cite the documents, rows or pages they came from.; Works from the sources you connect, with your permissions.

Submission vs. guideline check

Ask for help with submission vs. guideline check. The agent searches your connected sources and shows where each answer came from.

  • Ask about submission vs. guideline check in plain language.
  • Answers cite the documents, rows or pages they came from.
  • Works from the sources you connect, with your permissions.
  • Review the result before you act on it or share it.
Submission vs. guideline check: Ask about submission vs. guideline check in plain language.; Answers cite the documents, rows or pages they came from.; Works from the sources you connect, with your permissions.

Missing-document list

Ask for help with missing-document list. The agent searches your connected sources and shows where each answer came from.

  • Ask about missing-document list in plain language.
  • Answers cite the documents, rows or pages they came from.
  • Works from the sources you connect, with your permissions.
  • Review the result before you act on it or share it.
Missing-document list: Ask about missing-document list in plain language.; Answers cite the documents, rows or pages they came from.; Works from the sources you connect, with your permissions.

From template to deployed agent

Start from the template, make it yours and deploy when you are happy with how it answers.

  1. Open Agent Studio: Sign in and choose Templates, then select this agent.
  2. Review instructions and tools: Check the instructions and the tools it uses: Enterprise Search, Knowledge Base, Assistant Skills, PDF Reader.
  3. Connect your sources: Connect a database or work apps in Enterprise Search and upload any documents it should know.
  4. Test in chat: Ask real questions, read the answers and refine the instructions.
  5. Deploy and share: Deploy the agent and share it with your team or use it in a workflow.

How the Insurance Claims & Underwriting Support agent answers

Insurance Claims & Underwriting Support Assistant flow: Open Agent Studio, then Review instructions and tools, then Connect your sources, then Test in chat, then Deploy and share

How the Insurance Claims & Underwriting Support agent is built

An agent template is a set of instructions, tools and example tasks on the Coderva agent platform. You can edit every layer.

Layers of Insurance Claims & Underwriting Support Assistant: Your sources, Tools, Instructions, Answers and history
  • Your sources: Databases, work apps and uploaded documents you connect.
  • Tools: Built-in tools the agent can call: Enterprise Search, Knowledge Base, Assistant Skills, PDF Reader.
  • Instructions: A prompt that sets the role, tone and rules for this kind of work.
  • Answers and history: Short answers with citations, and a conversation history.

Screens you will use

You work with the agent in Agent Studio and in chat.

Chat with the Insurance Claims & Underwriting Support agent

Ask a question and read the answer.

  • Try: claim file summary.
  • Try: submission vs. guideline check.
  • Open the cited sources to check an answer.
Chat with the Insurance Claims & Underwriting Support agent: Try: claim file summary.; Try: submission vs. guideline check.; Open the cited sources to check an answer.

Instructions and tools

Adjust how the agent behaves.

  • Edit the instructions and tone.
  • Tools: Enterprise Search, Knowledge Base, Assistant Skills, PDF Reader.
  • Restrict what the agent may do before you deploy.
Instructions and tools: Edit the instructions and tone.; Tools: Enterprise Search, Knowledge Base, Assistant Skills, PDF Reader.; Restrict what the agent may do before you deploy.

What teams ask it first

Starting use cases that come with the template. Add your own.

  • Claim file summary: Ask for help with claim file summary. The agent searches your connected sources and shows where each answer came from.
  • Submission vs. guideline check: Ask for help with submission vs. guideline check. The agent searches your connected sources and shows where each answer came from.
  • Missing-document list: Ask for help with missing-document list. The agent searches your connected sources and shows where each answer came from.
  • Policy wording lookup: Ask for help with policy wording lookup. The agent searches your connected sources and shows where each answer came from.
  • Share with your team: Deploy the agent to a link or embed it in a workflow.
  • Keep a history: Every conversation is stored so you can review what was asked and answered.

What it connects to

Sources you can connect for this agent.

  • PostgreSQL
  • MySQL
  • GitHub
  • Confluence
  • Jira
  • Slack
  • Notion
  • Google Drive
  • PDF Reader

Control and checks built in

You decide what the agent can see and do, and how its answers are used.

  • Your permissions apply: Searches run with the credentials you connect, so the agent only sees what they can read.
  • Cite or say so: The instructions tell the agent to cite its sources and to say when it cannot find an answer.
  • A person reviews: The Insurance Claims & Underwriting Support Assistant supports staff work and prepares drafts. A qualified person should review output before it is relied on.

What is in the Insurance Claims & Underwriting Support agent

  • Enterprise Search: Searches your connected work apps and databases with your own permissions.
  • Knowledge Base: Answers from the documents you upload.
  • Assistant Skills: Summaries, briefings and drafts in a consistent format.
  • PDF Reader: Reads and answers questions from PDF files.
  • Customisable: Instructions, tone and tools are editable in Agent Studio.
  • Deployable: Deploy to a link, share it with your team or use it in workflows.

Frequently asked questions

What is the Insurance Claims & Underwriting Support Assistant?

Summarises claim files and underwriting submissions against guidelines, for a licensed professional to decide. It is a intermediate-level agent template you can customise in Agent Studio.

What does the Insurance Claims & Underwriting Support Assistant need to work?

A connected source such as a database or work app in the Enterprise Search app, and optionally documents uploaded to a knowledge base. Without sources it will tell you it has nothing to search.

Can I change the instructions and tools?

Yes. Everything is editable in Agent Studio before and after you deploy, so you can tune the tone, add tools and restrict what the agent may do.

Related

Use Insurance Claims & Underwriting Support Assistant