Accelerate claim processing, reduce payout risks, and improve decision accuracy with the Warranty Claims Adjudication Assistant, which summarizes queue volume, ranks open claims, and flags fraud risks.
Built to assist claim adjudicators and warranty underwriters, the agent summarizes queue volume, aging, and pending liability, and ranks open claims by value, age, and complexity. It also flags fraud risks such as duplicate serial numbers or repeat asset failures, audits claims for missing fields, coverages, and attachments, and drafts Requests for Information (RFIs) for the adjudicator to send. Human experts stay in full control of every decision.
Where: This change applies to Lightning Experience in Enterprise, Performance, and Unlimited editions with the Agentforce Automotive add-on license or included in Agentforce 1 Automotive Edition.
Who: To use the Warranty Claims Adjudication agent, users need the Automotive Foundation User, Claims Management Foundation, and Warranty Lifecycle Management permission sets.
How: To adjudicate claims, adjudicators launch the Agentforce panel and enter an utterance, such as "Show claim history for Acme Motors." Adjudicators can also work with the agent from Slack using the Warranty Claims Adjudication for Slack template.