AI Agent Developer: Dallas
A Dallas insurance adjuster handles 15 to 20 claims per day and touches each file 4 to 6 times across different systems: intake the claim, request documentation, look up coverage, calculate the payout, draft the settlement offer. For straightforward claims, each of those steps is deterministic. The adjuster is executing a lookup sequence, not making a judgment call.
An AI agent that handles documentation requests, coverage lookups, payout calculations, and settlement draft generation reduces adjuster involvement to review and approval on those straightforward claims. For complex claims, the agent compiles the relevant information so the adjuster can make the decision in 15 minutes instead of 90.
HUB International, Hilltop Holdings, and USAA regional offices in Dallas all run claims workflows with this structure. We build the agents that handle the repeatable steps.
Tell us about your claims or operations workflow.
A claims adjuster earning $65,000 to $80,000 per year handles 15 to 20 claims per day. Each claim requires 4 to 6 system interactions: pull the policy record, review the documentation, query the coverage table, run the payout calculation, generate the settlement draft, and update the claims management system. That is 60 to 120 system interactions per day, most of them lookup operations.
For a 30-person claims team, that is 1,800 to 3,600 system interactions per day where a human is executing a query, reading a result, and copying a value into another field. This is not claims judgment. It is data assembly.
AT&T's IT operations team in Dallas faces the same structure in infrastructure incident response. An alert fires, a tier-1 engineer queries the runbook, checks the affected system's status page, pulls the recent change log, and drafts an initial response procedure. This takes 20 to 40 minutes before any remediation begins.
An agent wired to the runbook database, the infrastructure monitoring API, and the change management system assembles the same information package in 90 seconds. The engineer reviews the draft and acts. Mean time to response drops by 60 to 70 percent on routine incidents.
Specific changes to the adjuster's workday, not abstract efficiency claims.
When a required document is missing from the claim file, the agent sends the documentation request without adjuster involvement. The adjuster sees the claim again when the documents arrive.
The agent queries the policy system, retrieves the coverage record, and attaches it to the claim file. The adjuster never opens the policy system for a straightforward coverage check.
For claims within coverage and below the settlement threshold, the agent generates a draft settlement letter with the claimant name, policy number, claim amount, and coverage basis filled in. The adjuster reviews, adjusts if needed, and approves.
Connectors to Guidewire ClaimCenter, Duck Creek, Majesco, and custom claims databases. The agent reads and writes claims records with every action logged.
Normalized coverage lookup across multiple policy systems. Each tool call returns a standardized coverage record regardless of the underlying system's data format.
PDF and image extraction for submitted documentation. Missing document detection with automated request generation in your required format and letterhead.
Immutable step-level logs for every agent action. Satisfies NAIC model law requirements for automated decision documentation. Exportable for regulatory examination.
Walk us through the steps your adjusters or operations team execute manually today. We will reply within one business day with a scope and price range.