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Priage — Workflow Detail
✓ Demo Available

Claims Triage & Payout Authorization

Claims adjuster triages claim and determines payout eligibility instantly.
CUSTOMER INITIATES VIA Phone / Internal System
Adjuster receives claim inquiry via phone or internal system and requests status and payout recommendation.
Claims Adjuster: "Status and payout on claim 88213 — can I release funds today?"
Checks claim status, release policy, outstanding documentation, recommends action. 4-5 min vs 20-30 min.
⏱️ 4-5 min | 📋 Auto-docs | ✅ Policy-compliant

ROI & Business Impact

75% faster claim triage (4-5 min vs 20-30 min)
58 FTE agents freed annually
100% policy compliance on payouts
Zero manual documentation review required
01 — Claim Retrieval
Pulling claim file 88213
Claim status: Documented. Type: Auto collision. Coverage: Comprehensive + Collision.
02 — Policy Review
Checking coverage and release policy
Policy allows claim release once documentation complete. Deductible: $500. Coverage limit: $50,000.
03 — Documentation Check
Verifying all required docs
Police report: ✓ Received. Repair estimate: ✓ Received. Provider invoice: ⏳ Pending
04 — Payout Calculation
Computing approved amount
Estimated repair: $8,500. Less deductible: $500. Approved payout: $8,000.
Priage Response

Claim 88213 approved for $8,000 payout.
One document pending (provider invoice) — can release now or wait for full documentation.
Recommended: Release now, file note on pending item.

This is one workflow. See how the same framework applies across your institution.

Try all use cases in the demo