Coverage & plan terms
Evaluate eligibility, covered components, exclusions, limits, and applicable program terms.
SERVICE AI WORKERS / WARRANTY AGENTS
Every claim, scored with context.
The Claim Scoring Agent evaluates coverage, repair evidence, costs, and claim history to turn complex submissions into clear, consistent decisions. See what needs attention, why it matters, and what can move forward.
CLAIM ASSESSMENTIllustrative view
84/ 100
Review recommended
Review recommended
Coverage & eligibilityStrong
3 Cs & repair evidenceStrong
Parts & labor costsCheck variance
Images & service historySupported
Clear criteria · one consistent view · next action
WHY CLAIM SCORING
A decision-ready view of every claim
Manual review requires an adjuster to connect coverage terms, the 3 Cs, repair history, pricing, and visual evidence across different systems. The Claim Scoring Agent brings these signals together and evaluates each criterion and the claim as a whole.
MULTIMODAL CLAIM REVIEW
Score what matters for each claim type
Scoring criteria can be configured for standard warranty, vehicle or equipment service contracts, and maintenance plans. The agent evaluates the evidence that applies to the specific claim and program.
Parts, labor & charges
Compare requested parts, labor time, rates, and other charges with relevant repair profiles and cost patterns.
The 3 Cs
Read the Complaint, Cause, and Corrective Action for completeness, consistency, and alignment with the repair.
Repair & service history
Consider the repair profile, prior service, repeat visits, and claim context to identify what warrants review.
Images & video
Analyze submitted visual evidence alongside the claim narrative and the proposed repair.
Additional criteria
Apply program-specific signals and available data to standard warranty, service contract, or maintenance plan claims.
HOW IT WORKS
From raw evidence to a clear next action
1
Assemble context
Bring together claim details, plan terms, repair data, service history, and submitted evidence.
2
Evaluate each criterion
Use AI models to interpret text, images, and video, and compare requested repairs with predictive parts and labor profiles.
3
Explain the score
Present criterion-level assessments and a proprietary aggregate score in a format reviewers can interpret quickly.
4
Route the next action
Support a faster expert review or eligible automated decision with configured controls and human oversight.
Illustrative workflow. Scoring criteria, score interpretation, and decision thresholds are configured for each program.
BUILT FOR CLAIM OPERATIONS
Faster reviews. More consistent decisions.
Save review time
Put the relevant evidence and potential exceptions in front of the reviewer.
Improve consistency
Assess comparable claims against the same program-specific criteria.
Scale decision intelligence
Use scores to support automation, investigate patterns, and analyze claim performance over time.
Claim Scoring Agent is part of Circuitry.ai Warranty Decision Intelligence →
LET'S TALK CLAIMS
See claim scoring in action.
Explore how the Claim Scoring Agent fits into your warranty and service contract workflow.