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Insurance Claims Adjudication & Settlement
by Internal Labs
0
Process Template
<100
Summary
Summary
An agentic process built with Maestro, modeled using BPMN to coordinate policy validation, fraud scoring, payout estimation, reinsurance checks, and settlement issuance.
Overview
Overview
This agentic process is built with Maestro and is modeled using BPMN for orchestrating insurance claims adjudication and settlement. It streamlines validation of policy details, performs fraud scoring, estimates payouts, checks reinsurance coverage, and issues settlements—ensuring accuracy, compliance, and faster resolution for claimants.
What is Agentic Orchestration?
Agentic orchestration enables you to orchestrate AI agents, robots, and people to exceed business outcomes.
With agentic orchestration powered by UiPath Maestro, you can:
- Adopt agents effortlessly, with control: easily model, orchestrate, and optimize agentic processes involving agents, robots, and people.
- Scale automation to complex, intelligent processes: manage and scale processes end-to-end more effectively, leading to better outcomes and higher ROI from automation initiatives.
- Simplify processes – and the way they’re managed: enhance process outcomes by accelerating and simplifying how processes are managed.
Features
Features
- End-to-End Orchestration Coordinate agent, robot, and human tasks across the claims adjudication and settlement lifecycle – policy validation, fraud scoring, payout estimation, reinsurance checks, and settlement issuance.
- BPMN-Based Process Modeling Visualize and manage workflows using BPMN, enabling you to easily design, optimize, and adapt processes.
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