InsuranceCase

Homeowners Insurance Claim

First notice of loss for homeowners insurance claim (non-auto).

12field definitions
3surface rules
4guardrail signals
5wrap-up checks

When this runs

classifies this work type when the caller says things like:

homeowners claim
house damage
property damage claim
fire damage
water damage claim
theft claim
vandalism claim
tree fell on house

How the call goes

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

1

Ask if the property is safe to live in — if not, the insurer may need to arrange temporary housing.

urgent

Is the property still safe to live in right now? If not, we may be able to help with temporary housing arrangements.

Field: Is the property still habitable

2

Ask what caused the damage — fire, water, storm, theft, etc.

important

What caused the damage — was it fire, water, a storm, theft, or something else?

Field: Type of loss (fire, water, theft, wind, etc.)

3

Ask if they have already done any emergency repairs and remind them to keep receipts.

important

Have you already made any emergency repairs, like tarping a roof or stopping a leak? If so, please keep all receipts — those may be reimbursable.

Field: Emergency repairs already made

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 nameCallback numberPolicy numberProperty addressDate of loss / incidentDescription of damagePolice or fire report filedPhotos of damage takenPreferred contact method for adjuster

Guardrail signals

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

Never guarantee that a claim will be approved or covered.

Do not estimate claim payout amounts.

Never advise the caller to delay filing a police report.

Do not interpret policy exclusions.

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 property address
  • Confirm callback number
  • State next step
  • Send confirmation
  • Provide claim number

Then creates a case with:

  • Policyholder name
  • Callback number
  • Policy number
  • Property address
  • Date of loss / incident
  • Type of loss (fire, water, theft, wind, etc.)
  • Description of damage
  • Is the property still habitable
  • Emergency repairs already made
  • Police or fire report filed
  • Photos of damage taken
  • Preferred contact method for adjuster

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