Resolution Desk
Ingests the claim file, builds the coverage table, coordinates providers with deadlines and escalates only the exceptions to the adjuster with context.
Agents for insurers: first notice of loss, resolution desk, provider-network coordination, document onboarding, endorsements and renewals, and billing alerts.
Ingests the claim file, builds the coverage table, coordinates providers with deadlines and escalates only the exceptions to the adjuster with context.
Orchestrates each service with the network providers on their channel, logs the whole interaction and builds the reconciliation package when the service closes.
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.
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.
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.
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.
During every call, Silia connects live to the systems your operation runs on — updating records, triggering workflows, and confirming actions without interrupting the conversation.