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Claims-native AI agents for life and health

Agents for disability, life, health, and dental claims. They gather records from employers, doctors, and beneficiaries, check them against your rules, and hand examiners a complete, cited file.

Complete files, without the chase

A disability claim waits on HR and a doctor. A death claim waits on certificates and beneficiary papers. A health claim stops for an x-ray or an accident question. Avallon agents gather what each claim needs, check it, and hand your examiners a complete file.
  • Life
  • Health
  • Disability & Absence
  • Supplemental
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Claim Intaker

Captures new losses via phone, email, or file upload, filing claims with zero manual entry.

Case Status Receptionist

Answers inbound status request calls with real-time updates and full claim context.

Third Party Outreacher

Calls and emails employers, providers, and claimants, on your schedule and contact rules, logging every response.

Case Copilot

Retrieves data, cites sources, analyzes claims and suggests actions.

Works in the claim system you run

Agents read what they need from your claim system, do the work, and write the results back, so adjusters see it where they already work. Every write is logged.
FINEOS
EIS
Sapiens
Majesco
Equisoft
HealthEdge
Cognizant TriZetto
DXC Technology
  • Salesforce
  • HubSpot
  • Microsoft Dynamics 365
  • Attio
  • Microsoft Outlook
  • Gmail
  • Microsoft Teams
  • Slack
  • Zoom
  • Twilio
  • Genesys
  • NICE
  • Five9
  • Amazon Connect
  • Snowflake
  • Google BigQuery
  • Databricks
  • Amazon Redshift
  • Custom code
  • REST API
  • Webhooks
  • Model Context Protocol

Retrieve live claim information and record completed work directly in your core claims system.

  • Real-time claim ingestion
  • Write-back automation
  • Two-way status sync

  • Auto-link claim files to contacts
  • Surface retention signals
  • Sync tasks & notes

  • Unified inbox triage
  • Contextual call & meeting notes
  • Proactive alerts

  • Voice-to-claim creation
  • Post-call reporting
  • Smart call steering

  • Daily claim snapshot exports
  • Bring-your-own-data joins
  • Usage & performance metrics

  • Low-code sidebar widgets
  • Open REST & webhook API
  • Event-driven extensions
Athens Administrators
Avallon has made it simple to integrate AI into our claims operations while ensuring our customers’ experience is exceptional.
Danny Smith, VP of IT at Athens Administrators

Explore the Platform

Overview

The system of action for claims operations
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Omnichannel Agents

One agent that calls, emails, faxes, and texts
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Document Intelligence

Reads any claim document and cites every answer
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Compliance for the realities of claims

Avallon’s security program supports the privacy, healthcare, communications, and data protection requirements that shape claims operations.
Access security documentation, review controls, and submit questions through the Avallon Trust Center.
  • SOC 2 Type II
  • HIPAA
  • GDPR
  • CCPA
  • TCPA
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