Autonomous agents for insurance claims

Built to resolve insurance claims

MAVALLI puts a purpose-built AI agent on every repetitive task in a claim — the intake, the status call, the outreach, the file — and gives adjusters back the work that actually needs judgment.

Talk to us Meet the agents

Mavalli · Voice Live

Inbound · Status request Claim #WC-48213

Caller“Hi — I'm checking on the status of my claim.”

Mavalli“It's in review. Indemnity was approved Tuesday; first payment issues Friday.”

Translating · ES → EN

Update logged to claim

Mavalli · Email

Inbound · clinic@eastside.example Records attached for DOL 04/12 — left shoulder, claimant J. Rivera.

Parsed

Claimant: J. Rivera
Date of loss: 04 / 12
Provider: Eastside Clinic
Body part: L. shoulder

Structured & written back

Mavalli · Assist

AdjusterWhat's still outstanding on WC-48213?

MavalliTwo items: a signed authorization and the IME report. Doc 07Doc 12Note 31

Next · Request IME — Dr. Okafor

Every fact, sourced

Voice · Live

Workers' comp · Property & casualty · Health Carriers, TPAs & partners across the U.S. and Europe Venture-backed · Enterprise-grade security

The thesis

Claims operations run on three surfaces — the phone, the inbox, and the file. MAVALLI automates all three, and leaves the judgment where it belongs.

Purpose-built for thework claims demand.

On the phone

A dialer that never holds

Inbound and outbound calls, handled by voice agents that extract the key details, share case updates, and operate in more than one language.

In the inbox

Inbox complexity, structured

Email automation that turns a tangle of correspondence into clean, structured data — and manages outreach to every party on the claim.

Across the file

Any file, read and indexed

A document parser that turns any claim file into chronological, indexed data — written straight into the claims-management system your team already uses.

The agents

Four task-built agents. One claims workflow.

Each MAVALLI agent owns a single, high-volume job end to end — so the repetitive work leaves the queue and your team keeps the decisions.

Agent 01 — Intake

Files every new loss.First notice of loss, captured by phone, email, or file upload — and filed with zero manual data entry.

The intake agent captures new losses the moment they arrive, in whatever form they arrive: a phone call, an email, or an uploaded file. It reads the report, structures the details, and opens the claim directly in your system — no adjuster re-keying names, dates, policy numbers, or body parts from a PDF.

What used to be a queue of half-legible forms becomes a stream of clean, complete claims, ready for triage the instant they land.

Phone, email, and file-upload intake in one agent
Claims filed with no manual data entry
Structured and complete before it reaches an adjuster

Agent 02 — Status

Answers the status call.Inbound status requests, picked up in real time — with the entire claim in context.

When a claimant, employer, or provider calls to ask “where are we?”, the status agent answers — immediately, and with the full file in hand. It knows what's been paid, what's pending, what's been requested, and what happens next, and it explains it clearly without ever putting the caller on hold for a lookup.

Routine status traffic — the single largest source of inbound call volume in most claims shops — stops landing on your adjusters' desks.

Real-time answers with full claim context
No hold time, no transfers for a simple update
Speaks in more than one language

Agent 03 — Outreach

Makes the calls no one gets to.Outbound contact to employers, providers, and injured parties — with every response logged.

The outreach agent works the phone outbound: it contacts employers for wage statements, providers for records, and injured parties for the details a claim needs to move — and it logs every response back to the file as it goes. The follow-ups that pile up at the bottom of a worklist get made, on time, every time.

Nothing stalls because someone didn't get to the call. The claim keeps moving while your adjusters focus on the ones that need a human decision.

Reaches employers, providers, and injured parties
Every call outcome logged to the claim
Persistent follow-up without manual chase lists

Agent 04 — Assist

Sits beside the adjuster.Retrieves the data, cites its sources, analyzes the claim, and recommends the next action.

The adjuster assistant is the agent your team works with directly. Ask it anything about a claim and it pulls the facts from across the file, shows you exactly where each one came from, analyzes what it means, and recommends the next step. It does the retrieval and the reading so the adjuster can do the judging.

Every answer is grounded and cited — never a black box. The adjuster stays in control of the decision; MAVALLI just removes the hours of digging that came before it.

Retrieves facts from across the whole claim
Cites a source for every fact it surfaces
Recommends the next action, leaves the call to you

The platform

See how a claim moves through MAVALLI.

One context-aware platform carries the claim from first notice to resolution — capturing it, engaging every party, reading the file, and handing your adjuster a decision instead of a backlog.

Under the hood

Six capabilities, working as one system.

01 / Core

Context-aware AI

Understands your organization's workflows and claims data end to end, so every agent acts on the full picture of the claim — not a generic script.

02 / Voice

Voice dialer

Handles inbound and outbound calls, extracts the key details from the conversation, and shares case updates — without an adjuster on the line.

03 / Email

Email automation

Turns inbox complexity into structured data and manages outreach to everyone involved in the claim — replies, requests, and follow-ups included.

04 / Documents

Document parser

Turns any claim file into chronological, indexed data inside your claims-management system — so the record reads itself instead of waiting to be read.

05 / Adjuster

Adjuster assistant

Pulls the facts, cites its sources, analyzes the claim, and recommends the next step — beside the adjuster, never in place of their judgment.

06 / Language

Multilingual voice

The voice agents operate in more than one language, so the same coverage and the same claim context reach every caller, whoever they are.

Lines of business

One platform, across every line you write.

The agents are configured to the work each line of business demands — the same automation, tuned to the correspondence, the parties, and the file that line generates.

Workers' compensation

Intake of new injuries, indemnity and medical correspondence, and persistent outreach to employers and providers — automated from first report through ongoing benefit handling, with status calls answered in context.

Property & casualty

First notice of loss, high-volume status handling, and document structuring for busy P&C books — losses captured the moment they're reported and routed to adjusters already triaged and complete.

Health

Inbound and outbound communication with members and providers, every interaction carrying the full claim record — so questions are answered the first time and outreach never loses the thread.

Integrations

Built to fit the stack you already run.

MAVALLI connects to your claims-management system, CRM, communication tools, IVR, data warehouse, and custom applications — so adoption never asks your team to change how they work.

How it connects

Four ways MAVALLI plugs in — without disruption.

Real-time ingestion

Reads from your systems as events happen, so every agent is acting on the current state of the claim — not yesterday's export.

Write-back automation

Filings, updates, and notes are written straight back into your system of record — the work shows up where your team already looks for it.

Two-way status sync

The claim stays consistent everywhere it lives — a change in one system is reflected in the others, automatically and continuously.

Open API

A programming interface to connect MAVALLI to anything you've built in-house, so the agents reach even the systems no vendor ships a connector for.

Where MAVALLI plugs in

Every channel and system a claim touches.

From the channels a loss arrives on to the systems it has to live in — MAVALLI meets the claim everywhere.

Claims-management System of record CRM Customer records Communication tools Channels IVR systems Phone routing Data warehouses Analytics Custom applications Open API Phone Inbound & outbound Email Structured intake File upload Any document Open API Build anything

Security & compliance

Enterprise-grade, by default.

MAVALLI is built for the security and compliance requirements of insurance organizations. Data is ingested and written back under enterprise-grade safeguards, and the agents operate inside the controls you already run — automating the work without changing who's accountable for it.

Enterprise-grade security & compliance
Safeguards designed for regulated claims data, applied to every call, message, and document the agents handle.
Acts inside your controls
The agents work within your existing systems and permissions — the same boundaries your team already trusts, with a full record of every action.
No workflow disruption
Real-time ingestion, write-back, and two-way sync mean MAVALLI fits around how you work today — adoption doesn't require re-tooling.

Venture-backed, and built by a team with machine-learning research backgrounds — the difference between claims agents that demo and claims agents that hold up in production.

Get in touch

Tell us where the queue hurts.

Show us the highest-volume, most repetitive work on your claims team's plate — the status calls, the intake backlog, the document pile — and we'll show you the agents that take it off their hands. Send a note and the MAVALLI team will be in touch.

Phone+1 (310) 413-3643

Emailhello@mavalli.net

Office — MAVALLI Inc14507 Plummer St, Unit 1
Panorama City, CA 91402

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