Smart Suggestions

Help Center/AI Features
AI Features5 min read

AI-powered recommendations for claim resolution.

app.claimport.io/claims/CLM-001 - AI Analysis
Photo Analysis
Damage: 92%
Damage verified - Manufacturing defect detected
Analysis Results
Damage Confidence92%
Fraud Risk8%
Policy Match95%
AI Recommendation

Approve full refund of $149.99. Similar defects found in 12 other claims from batch #2024-03.

Smart Suggestions uses AI to recommend the best resolution for each claim, helping you make faster, more consistent decisions.

Types of Suggestions

Resolution Recommendations

Based on claim details, AI suggests:

  • Full Refund: Complete refund of purchase price
  • Partial Refund: Percentage refund for partial damage
  • Replacement: Send new product
  • Repair: Offer repair service
  • Store Credit: Issue credit for future purchase
  • Deny: Claim doesn't meet warranty criteria

Response Templates

AI drafts customer communications:

  • Approval messages
  • Information requests
  • Denial explanations
  • Follow-up messages

Assignment Suggestions

Recommends which team member should handle:

  • Based on expertise
  • Current workload
  • Claim complexity
  • Product category

How Suggestions Are Generated

The AI considers:

  1. 1.Claim Value: Higher values may warrant different handling
  2. 2.Product Category: Electronics vs clothing vs furniture
  3. 3.Damage Type: Manufacturing defect vs user damage
  4. 4.Customer History: Loyalty, previous claims, purchase value
  5. 5.Similar Claims: How you resolved similar cases
  6. 6.Policy Rules: Your configured warranty policies

Using Suggestions

Quick Actions

Click a suggestion to:

  • Apply the recommended resolution
  • Send the drafted response
  • Assign to suggested team member

Modifying Suggestions

You can:

  • Accept as-is
  • Edit before applying
  • Reject and choose different action
  • Provide feedback to improve AI

Confidence Indicators

Each suggestion shows:

  • Confidence percentage
  • Key factors considered
  • Similar past cases
  • Alternative options

Training the AI

Feedback Loop

Help the AI learn by:

  • Accepting accurate suggestions
  • Correcting inaccurate ones
  • Adding notes on why you chose differently

Building Your Model

Over time, the AI learns:

  • Your approval patterns
  • Your communication style
  • Your exception cases
  • Your team preferences

Best Practices

  1. 1.Review before accepting: Always verify AI suggestions
  2. 2.Be consistent: Similar claims should have similar outcomes
  3. 3.Provide feedback: Help the AI improve
  4. 4.Monitor quality: Check suggestion accuracy regularly
  5. 5.Train your team: Ensure everyone uses suggestions the same way

Still have questions?

Our support team is here to help you.

Contact Support