Without Silia
- Notice captured by hand
- Coverage checked one by one
- File opened in hours
Claim Notice
Part of the Insurance
Receives the claim notice over WhatsApp, validates coverage against the CBS and opens the structured claim file in under two minutes, ready for the desk.
Insurance
The context
The first notice arrives chaotic and is handled slowly
The policyholder reports the claim by phone or WhatsApp and an operator transcribes the data by hand. Then they look up the policy in the CBS and check coverage. The call drags on, the data comes in incomplete and the policyholder waits with no idea if the claim is open.
The solution
A first notice that opens right in the conversation
The agent handles the notice over WhatsApp, asks just the right questions and captures the claim data in a structured way. It validates coverage against the CBS on the spot and opens the file in under two minutes. It leaves it ready and routed to the resolution desk.
Ask me anything
Key capabilities
What the agent does in your operation.
Guided intake
Asks just the right first-notice questions, one by one over WhatsApp, and builds a structured report with no long form to fill.
Coverage validation
Cross-checks the policy against the CBS on the spot, confirms the claim falls within coverage and tells the holder if anything is left out.
Structured claim file
Opens the file with the claim data, the policy and the validated coverage, in under two minutes from the very first message received.
Handoff to the desk
Routes the open file to the resolution desk with full context, so the adjuster picks it up without asking for the same data again.
With Silia
- Guided intake on WhatsApp
- Coverage validated on the spot
- File opened in minutes
System
System integrations
Silia connects live to the systems your business runs on: it updates records, triggers workflows and confirms actions.
FAQs
Still have questions?
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Resolution Desk
Ingests the claim file, builds the coverage table, coordinates providers with deadlines and escalates only the exceptions to the adjuster with context.
InsuranceProvider Network
Orchestrates each service with the network providers on their channel, logs the whole interaction and builds the reconciliation package when the service closes.
InsurancePolicy Document Onboarding
Onboards the policyholder over WhatsApp: receives their documents, reads them with OCR, validates RFC and ID against official sources and opens the file in the CBS.
InsuranceEndorsements & Renewals
Receives the endorsement request, extracts the change with vision, validates it against the product rules and runs it in the CBS with receipts and endorsed policy.
InsuranceProvider Billing Alerting
Reads each provider invoice line by line, cross-checks it against the agreement tariff and alerts with a zero to one hundred score on every deviation found.
Insurance