InsuranceCase

Insurance — First Notice of Loss (Auto)

Inbound auto FNOL. Captures date/time/location, injuries, and other-party info before claim assignment.

13field definitions
4surface rules
3guardrail signals
4wrap-up checks

When this runs

classifies this work type when the caller says things like:

accident
claim
wreck
fender bender
totaled
windshield
rear ended
deer
hail
hit and run

How the call goes

4 surface rules tied to missing field definitions. Urgent first.

1

Ask if anyone — driver, passenger, other vehicle, pedestrian — was injured. Any 'yes' triggers the BI flow.

urgent

Was anyone hurt — you, any passengers, anyone in the other vehicle, or any pedestrians?

Field: Any injuries (any party)

2

Get exact date and time of the loss — fraud screening and SOL implications.

urgent

Can I get the exact date and time the accident happened?

Field: Date of loss

3

Ask whether the vehicle is drivable — drives tow and rental authorization.

important

Is the vehicle still drivable?

Field: Vehicle drivable

4

Get the other driver's name, phone, insurance carrier, and policy number if available.

important

Do you have the other driver's name, phone number, and their insurance carrier and policy number?

Field: Other party name, phone, insurer

Extracted without a dedicated prompt

extracts these from the transcript in real time. If the caller does not mention them naturally, staff can confirm them during wrap-up.

Policyholder namePolicy numberCallback numberTime of lossLocation of lossDriver at time of lossPolice report filed / numberVehicle damage summaryPhotos available

Guardrail signals

If staff says anything matching one of these examples, an urgent warning surface is created.

Confirm coverage or claim acceptance before adjuster review.

Estimate settlement or repair amounts.

Admit liability on behalf of the insured.

When the call ends

Before staff can end the call, walks them through a wrap-up checklist, then prepares the captured fields for the work record.

Wrap-up checklist

  • Confirm claim number
  • Confirm callback number
  • Explain adjuster contact timing
  • Send claim packet

Then creates a case with:

  • Policyholder name
  • Policy number
  • Callback number
  • Date of loss
  • Time of loss
  • Location of loss
  • Driver at time of loss
  • Any injuries (any party)
  • Police report filed / number
  • Other party name, phone, insurer
  • Vehicle damage summary
  • Vehicle drivable
  • Photos available

Ready to put this work type to work?

Start your free trial and this work type is active on your first call. Customize it any time, or let it run as-is.

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