Every claim triaged and routed before your adjuster opens the queue
Today
Operations team
Manual classification across email, portal & EDI
Avg triage: 2–4 hours
Coverage checked manually in Guidewire
Routing decisions undocumented
Years of point-integration debt
With Noxus
Co-worker
Automated ingestion, classification & routing
Avg triage: under 3 minutes
Automated coverage validation, zero re-entry
Every decision logged, auditable, replayable
Live on your stack in 6–8 weeks
How Noxus Works
Three layers powering Claims Triage & Prioritization end-to-end
From the moment a FNOL arrives to the moment an adjuster opens their queue — Noxus handles every step across every system you already use.
01
Claim Intelligence
Reads every incoming FNOL — email, portal, EDI, voice — extracts structured data, and maps it against your SOPs before a human sees it.
Ingest
→
Classify
→
Score
02
Autonomous Routing
Validates coverage in Guidewire, sets reserves in SAP, assigns the right adjuster in ServiceNow — and writes back to every system without a single manual touch.
Validate
→
Route
→
Write-back
03
Governance & Audit
Every classification decision, routing rule, and adjuster assignment is logged, timestamped, and replayable — ready for regulatory review or SLA dispute.
Log
→
Review
→
Replay
Capabilities
Built for the full Claims Triage workflow
Noxus reads FNOLs the moment they arrive — regardless of channel. It extracts claim type, coverage class, incident severity, and policyholder data, then cross-references your SOPs to classify and score each claim in under 3 minutes. Your adjusters open a queue of work that's already sorted, validated, and ready.
Handles email, portal, EDI, and voice transcripts — no channel-specific setup
Coverage validated live in Guidewire PolicyCenter before routing
Every classification mapped to a named SOP rule — auditable by default
Noxus pulls the active policy from Guidewire, checks deductibles, exclusions, and coverage limits against the FNOL details, then sets the initial reserve in SAP and logs the rationale. No adjuster time spent on lookup. No reserve set without a documented policy basis.
Handles email, portal, EDI, and voice transcripts — no channel-specific setup
Reserve logic follows your rules engine, not a black-box model
Full coverage decision log meets Solvency II and state DOI audit requirements
Noxus records the full lineage of every claim: what data was read, which SOP rule applied, what coverage decision was made, and which system was updated — with timestamps down to the second. When a regulator or plaintiff's counsel asks why a claim was classified as it was, you have the answer in two clicks.
Meets state DOI, FCA, and Solvency II audit trail requirements
Reserve logic follows your rules engine, not a black-box model
Full coverage decision log meets Solvency II and state DOI audit requirements
agentic operations
Rule-based routing vs. Noxus Claims Co-workers
Noxus brings agentic processes directly to your systems of record. Whether workflows span SAP, Oracle, or custom internal tools — the work gets executed.
Measured results
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Built for Every Team
Claims Operations
Eliminate the manual sorting, re-entry, and routing that buries your team before any real claims work begins.
Actuarial & Reserving
Eliminate the manual sorting, re-entry, and routing that buries your team before any real claims work begins.
Compliance & Regulatory
Eliminate the manual sorting, re-entry, and routing that buries your team before any real claims work begins.
What Customers Say
Trusted by teams running the operations
Frequently Asked
Questions about Claims Triage AI
Ready to clear the triage queue before your adjusters arrive?
Deploy a Claims Triage Co-worker across your Guidewire, SAP, and ServiceNow stack — and let your adjusters focus on what actually requires human judgment.
