AS
Apex Specialty Insurance
Insurance · Specialty

A specialty insurer triples adjuster throughput on complex claims with a multi-agent triage and investigation stack.

3.4×
Adjuster throughput on complex claims
↓ 22%
Loss-adjustment expense per case
+1.8 pts
SIU referral precision
The challenge

Apex's complex-claims unit was understaffed with a growing queue.

The solution

A claims triage and investigation agent stack: intake normalizes FNOL, coverage analysis matches policy language, an investigation agent runs SIU-style red-flag detection across documents and prior claims, and a recommendation agent drafts reserve and next-best-action.

"We expected efficiency. The SIU precision lift paid for the program in year one."

Priya Banerjee, SVP Claims, Apex Specialty
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