InsuranceCase

Insurance — First Notice of Loss (Homeowners / Property)

Inbound property FNOL. Captures cause of loss, habitability, and mitigation status to satisfy duty-to-mitigate documentation.

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

When this runs

classifies this work type when the caller says things like:

roof leak
tree fell
burst pipe
fire
smoke damage
burglary
stolen
vandalism
wind damage
hail damage
flooded

How the call goes

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

1

Ask whether the home is still habitable — drives ALE / temporary lodging coverage.

urgent

Field: Property still habitable

2

Get cause in one phrase — water, fire, wind, theft, vandalism. Drives coverage path.

urgent

Field: Cause of loss (water/fire/wind/theft)

3

Ask what they've done to prevent further damage (tarp, water extraction) — duty to mitigate.

important

Field: Mitigation started (tarp, water extraction)

4

Encourage photos of damage before further mitigation work.

normal

Field: Photos of damage available

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 numberProperty addressDate of lossAny injuriesEmergency services calledPolice report for theft / vandalismOther applicable insurance

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.

Tell the caller not to mitigate further damage.

Estimate claim value.

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
  • Advise save receipts
  • Explain adjuster contact timing

Then creates a case with:

  • Policyholder name
  • Policy number
  • Callback number
  • Property address
  • Date of loss
  • Cause of loss (water/fire/wind/theft)
  • Property still habitable
  • Any injuries
  • Mitigation started (tarp, water extraction)
  • Emergency services called
  • Photos of damage available
  • Police report for theft / vandalism
  • Other applicable insurance

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