Smart Claims, built on Kamios, transforms complex insurance claims into one coordinated, auditable conversation.
Kamios acts as the orchestration layer, coordinating AI agents, enterprise data, systems, and human decision-makers across the entire claims workflow. Agents handle coverage checks, eligibility, calculations, document extraction, claim registration, and pre-adjudication, while Kamios pauses the process whenever human approval is required and records every action.
Across health, critical illness, hospital income, and life insurance claims, the same five-step flow applies: verify coverage and eligibility, resolve benefits and customer costs, route exceptions for human approval, automatically prepare the claim from existing information and documents, and produce a decision or payment path.
The result is fewer handoffs, less repeated information, faster decisions, clear explanations for customers, and a complete audit trail showing which agent acted, what data and policy were used, and who approved each critical decision.
Five steps. One conversation. Human oversight where it matters. A trace of every action.
Start with one workflow. Scale what works.