Use case • Insurance Claims

Claims Triage With Clear Decisions and Audit Trails

InboxIQ consolidates claim signals across channels, detects urgency and risk, and routes each claim to the right owner with traceable rationale.

Common claims bottlenecks

Fragmented intake channels

Claims arrive via email, portals, phone notes, and CRM updates.

Slow escalation signals

High-risk claims are identified too late in the process.

Limited decision traceability

It is hard to prove why a claim was routed or escalated.

InboxIQ for claims operations

Unified claims intake

Consolidate Voice, Email, Forms, and CRM signals into one stream.

Decision routing + ownership

Assign owners, set SLAs, and escalate based on risk and severity.

Audit-ready outcomes

Every decision includes a rationale for compliance reviews.

Operational outcomes

Faster claim resolution

Urgent claims move first without manual sorting delays.

Lower processing cost

Reduced admin triage means more time for investigations.

Consistent routing quality

Standardised decisions across teams and regions.