Avallon

Avallon is a product designed for insurance companies, managing general agents (MGAs) and third-party administrators (TPAs) to automate claims operations. Its importance lies in its ability to help the claims team eliminate tedious work, improve claims efficiency and reduce costs. The product was developed by a group of machine learning researchers from Cornell University and MIT and is backed by top venture capital firms. There is no mention of price in the document. The product positioning is to provide intelligent claims solutions for claims teams in the United States and Europe. The main advantages include using context-aware AI to understand workflow and claims data to guide real-time decision-making; automating phone calls, emails, document processing and other processes through various tools; integrating with mainstream systems to facilitate data interaction and business collaboration.

Demand group:

["Insurance companies: Insurance companies have a large claim settlement business and complex processes. Avallon can automate claims operations, reduce manual processing workload, improve claims efficiency, and reduce costs. At the same time, its context-aware AI can ensure the accuracy of decision-making and improve customer satisfaction.", "Managing General Agents (MGAs): MGAs need to handle the claims business of multiple insurance companies, and have high requirements for system integration and processing capabilities. Avallon can integrate with a variety of mainstream systems to achieve real-time data sharing and efficient business collaboration, helping MGAs to better manage claims business. ", "Third-party administration agencies (TPAs): TPAs are responsible for providing claims management services to customers and need to ensure the quality and efficiency of services. Avallon 's various automation tools and intelligent analysis functions can help TPAs optimize the claims process, improve service quality, and enhance customer trust. "]

Example of usage scenario:

By using Avallon , Athens Administrators has streamlined the process of integrating AI into claims operations while ensuring an exceptional customer experience.

An insurance company uses Avallon 's phone dialer function to handle a large number of claims calls, improving the speed and accuracy of claims processing.

A TPA agency uses Avallon 's document parser to structure a large number of claims documents, which facilitates the management and query of claims data.

Product features:

Context-aware AI: It can fully understand the workflow and claims data, track the entire process from start to finish, and provide precise guidance in the real-time decision-making process to ensure that every decision is based on accurate data and business logic.

Extended functions of the phone dialer: not only can it handle incoming and outgoing calls, it can also accurately extract key information and share the latest progress of the case in a timely manner, allowing claims adjusters to keep abreast of case developments.

Email Orchestrator Automation: Convert complex information in your inbox into structured data, automatically communicate with relevant parties, and reduce the time and errors of manual email processing.

Document parser optimization: Use advanced AI technology to convert any claims document into clear, indexable data and store it in the content management system (CMS) to facilitate subsequent query and use.

Enhanced functions of Avallon Assistant: It can extract facts, cite sources, analyze claims cases in detail, and recommend next steps based on the analysis results, providing comprehensive decision-making support for claims adjusters.

Claims acceptance function: Capture new loss information through multiple methods such as phone calls, emails, or file uploads, and complete the submission of claim applications with zero manual input, greatly improving the efficiency of claim acceptance.

Case status reception function: respond to incoming case status query requests in real time, provide the latest case information and complete claims background, and allow customers to understand the progress of the case at any time.

Third-party contact function: Automatically calls employers, suppliers and injured workers, and records every response in detail to ensure timely and accurate communication with relevant parties.

Usage tutorial:

1. Visit Avallon official website (https://www.Avallon.ai/) to learn about the product’s functions and features.

2. Contact Avallon team to schedule a demo and gain a deeper understanding of how the product meets your business needs.

3. According to your own business needs, choose the appropriate integration method to integrate Avallon with the existing CMS platform, IVR system, data warehouse, etc.

4. Configure various functions of the product, such as setting rules for context-aware AI, adjusting parameters of the phone dialer and email organizer, etc.

5. Start using Avallon for claims operations and use its various automation tools and intelligent analysis functions to improve claims efficiency and quality.

6. Regularly check usage data and performance indicators, and optimize and adjust the product according to actual conditions.