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Avallon

Paid

AI agents for claims operations

AI AgentsContact
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Type
Saas
Company
Avallon

About Avallon

Avallon turns complex claims operations into automated resolutions, cutting costs and supercharging adjuster productivity with agentic workflows. It is built for carriers, MGAs, and TPAs to automate claims operations, eliminating busywork for claims teams across the US and Europe.

How to Use

Avallon utilizes AI agents to automate various aspects of claims operations. Users can leverage specific agents like the Claim Intaker for new loss capture, Case Status Receptionist for inbound inquiries, Third-party Reacher for outbound communication, and Case Copilot for data retrieval, analysis, and action suggestions. The platform integrates seamlessly with existing CMS, CRM, IVR systems, and data warehouses, and can be configured to specific workflows and call scripts.

Key Features

  • Context-Aware AI
  • Dialer (for scaling phone calls)
  • Orchestrator (for automating emails)
  • Parser (for structuring documents)
  • Copilot (for workflow supercharging, data retrieval, analysis, and recommendations)

Use Cases

  • Automating claims operations for Workers Comp, Property & Casualty (P&C), and Health insurance.
  • Capturing new losses via phone, email, or file upload with zero manual entry.
  • Answering inbound status request calls with real-time updates and full claim context.
  • Auto-dialing employers, providers, and injured workers while logging responses.
  • Retrieving data, citing sources, analyzing claims, and suggesting actions for case management.
  • End-to-end subrogation automation, including multimodal outreach and demand packet building.

Key Features

Context-Aware AI
Dialer (for scaling phone calls)
Orchestrator (for automating emails)
Parser (for structuring documents)
Copilot (for workflow supercharging, data retrieval, analysis, and recommendations)

Pros & Cons

Pros
  • Reduces manual data entry and administrative busywork for adjusters
  • Seamless integration with existing CMS, CRM, IVR, and data warehouse systems
  • Multilingual support and instant translation for global claims teams
  • Scales to handle unlimited concurrent calls with zero wait times
  • Human handoff capability for complex or sensitive cases
  • Fully customizable call scripts and workflows with engineering support
  • 24/7 support for critical issues and proactive monitoring
Cons
  • Custom pricing is not publicly transparent, requiring a consultation for cost
  • Implementation requires tight collaboration with Avallon's forward deployed engineering team
  • May involve complexity in integrating with legacy systems
  • Dependence on AI accuracy for critical claims decisions may require human oversight

Best For

Automating claims operations for Workers Comp, Property & Casualty (P&C), and Health insurance.Capturing new losses via phone, email, or file upload with zero manual entry.Answering inbound status request calls with real-time updates and full claim context.Auto-dialing employers, providers, and injured workers while logging responses.Retrieving data, citing sources, analyzing claims, and suggesting actions for case management.End-to-end subrogation automation, including multimodal outreach and demand packet building.

Alternatives to Avallon

FAQ

How will Avallon integrate with my systems?
Avallon's forward deployed engineering team works closely with yours to integrate with existing claims management platforms, REST APIs, ERP software, email, and more.
How much does Avallon cost annually?
Avallon's pricing is tailored to each organization based on claim volume, system integration complexity, and specific features required. It scales with the value delivered.
Can the Avallon voice AI agent adapt to a wide variety of call scripts?
Yes, the voice AI agent can be configured to handle multiple variations of claims call scripts with assistance from Avallon's engineering team.
If I own a smaller claims management operation, will Avallon still be effective for me?
Absolutely. Avallon is designed to add value to claims teams of all sizes, with pricing that scales to suit the organization's needs.
What kind of support does Avallon offer after implementation?
Avallon offers 24/7 assistance for critical issues, regular updates, proactive monitoring, troubleshooting, training, and adjustments as the business evolves.