Every client’s instructions, followed and cited
Set each client’s handling instructions once. Agents follow them on every file and cite the one they used.
Solutions
Claims-native AI agents for TPAs
Avallon agents take the intake, contact, and follow-up on every file, following each client’s handling instructions, so your adjusters carry more claims at the service levels you sold.
Take on more claims with the team you have
Most TPA work is priced per claim or per program, so margin is how many files each adjuster carries at the service level you sold. Avallon agents take the intake, contact, and follow-up on every file, so your team carries more claims and keeps the judgment.
Hand the busywork to Avallon
Agents take the calls, emails, and documents on every file, so your team spends its time on judgment calls and people.
Every party reached inside the deadline
Claimants, employers, and providers reached by phone, email, text, or fax inside each client’s deadline, with every attempt logged.
Ready for every audit, renewal, and RFP
Every action is logged with its source and service levels are tracked per client, so audits come from the record.
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.
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
Move every client’s claims forward with Avallon’s AI agents.
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Expand capacity across the claims organization
Avallon handles routine, high-volume work and complex, PHI-heavy files with the same rigor. Claims move forward around the clock while adjusters focus their time on decisions, exceptions, and the people who need their attention.
- 88%
- Of repetitive workflows handled end‑to‑end
- 31%
- Faster cycle times
- 4.6/5
- CSAT scores with agent interactions
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 our claim lines
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
