Portal claims, read, classified and escalated — 24/7.
A bot watches the portal without pause and an AI agent reads each claim, classifies it by type and urgency and routes or escalates it — periodic manual review disappears.
From the portal intake to the right response
Five steps. The AI understands and classifies; the person decides only what is critical.
Continuous monitoring
The bot checks the claims portal without pause, day and night.
Reading the claim
An AI agent reads the text of the claim and understands what it is about.
Classification
It categorizes it by type and urgency with learned judgment, not with rigid rules.
Routing
It routes it to the right area and, if critical, escalates it immediately to a person.
Recording and response
It leaves a record and triggers the corresponding acknowledgment or response.
Built to never lose a single claim
It is not a script: it combines 24/7 automation with an AI agent that understands and decides.
24/7 monitoring
On Automation Anywhere V11: continuous portal surveillance, with no shifts.
Classification with agentic AI
An AI agent interprets each claim and decides its type and priority.
Intelligent routing
Each case reaches the right area, with no manual steps.
Automatic escalation
What is critical is raised instantly to a person — human control where it matters.
Immediate response
The acknowledgment or response goes out as soon as the claim arrives.
Traceability
Each claim, its classification and its routing are recorded.
Industrial, not improvised
AI with judgment, human control over what is critical and an auditable record of every decision.
Less manual watching. Zero claims left unattended.
The team's time for the cases that require judgment; monitoring and classification for the AI — with every claim read, routed and recorded.
Back to the journeyLet's talk about your process
Tell us about your process and we will show you how to automate it.
Contacttamara.kuschniroff@rpaforce.com · +54 11 5050 0222
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