Without Silia
- Status scattered across systems
- Documents chased by email
- Provider deadlines missed
Resolution Desk
Part of the Insurance
Ingests the claim file, builds the coverage table, coordinates providers with deadlines and escalates only the exceptions to the adjuster with context.
Insurance
The context
After the notice the file lives scattered and slow
After the notice, the claim file lives split between the CBS, emails, provider portals and the adjuster's spreadsheets. Nobody has the real status. Documents get chased by email and deadlines slip, while the adjuster spends 30% of the time on follow-up instead of deciding.
The solution
A desk that resolves and escalates only the doubtful
The agent ingests the file from the CBS, builds the coverage table for the line and coordinates providers in parallel with controlled deadlines. It logs every document and escalates to the adjuster only the exceptions, with the table and reason in view so they decide.
Ask me anything
Key capabilities
A system that gets better with every question.
Coverage table
Builds the coverage table automatically: validity, sublimits, deductibles and exclusions, flagging the event as covered, partial or out.
Parallel coordination
Sends the requests to surveyors, shops and providers at once, on a single cadence, and logs each document that comes back in the file.
Deadline control
Watches each provider deadline, sends reminders to whoever runs late and alerts the adjuster, so no file stalls on a provider's silence.
Escalation with context
Escalates to the adjuster only what falls outside the rules, with the table, documents and explicit reason, so they decide fast.
With Silia
- One traceable claim file
- Documents logged on their own
- Automatic SLA reminders
System
System integrations
During every call, Silia connects live to the systems your operation runs on — updating records, triggering workflows, and confirming actions without interrupting the conversation.
FAQs
Still have questions?
Provider 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.
InsuranceClaim Notice
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.
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