Automation

Virtual claims adjuster

A virtual claims adjuster is software that does parts of an adjuster’s work, such as intake, evidence gathering, coverage and liability analysis, and communication, to extend a team’s capacity. In responsible designs it assists the adjuster rather than replacing the final decision.

The term covers a wide range, from chatbots that take an FNOL to agents that read the file and propose a decision. What matters is whether a person still makes the call.

Why it matters

A virtual adjuster that decides on its own carries real risk on liability calls. One that does the work and recommends, with a human in the loop, gets the efficiency without giving up accountability.

In Mysa

Mysa does the legwork for your adjuster, the reading, chasing, assembling and recommending, but your team makes every call.