Processes

Manage and administer claims

How manage and administer claims are reshaped as AGI capability advances.

ProcessesManage and administer claims
Manage and administer claims — illustrated

The bottom line

About 60% of the work in Manage and administer claims is information-shaped and increasingly AI-deliverable, with the rest a hybrid of judgment and hands-on work. The automation frontier runs straight through the middle of this role.

Why: With no child occupations seeded, this scalar is derived from the industry lens ('Direct Property and Casualty Insurance Carriers') and the process name. Managing and administering claims is predominantly an information workflow (processing documents, verifying coverage, and communication), anchoring it as a hybrid-trending-digital process.

grounded in the economy graph · digital scalar 0.60 · hybrid

Business-as-Code

Read as an executable program — the work decomposed into Code, Generative, Agentic, and Human.

Manage and administer claims sits inside a larger value-flow — 1 parent structure it composes into. The hierarchy is grounding, not the story: it tells you which aggregate exposure Manage and administer claims inherits.

Where Manage and administer claims sits

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Recent capability events

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How the work flows

Trigger: A policyholder or third party submits a First Notice of Loss reporting property damage, liability, or injury.

  1. Receive First Notice of Loss and assign a claim handler
  2. Verify policy coverage and establish initial financial reserves
  3. Investigate the incident and assess property damage or liability
  4. Evaluate total claim value and negotiate settlement terms
  5. Issue settlement payment or formal claim denial
  6. Process salvage operations and pursue subrogation recovery

Outcome: The claim is fully adjudicated, resulting in a final settlement payment or denial, with all related salvage and subrogation activities resolved.

Measured by

Claim Cycle TimeLoss Adjustment Expense RatioClaims Leakage RateSubrogation Recovery Rate