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Claims

Kairos

Cycle time set by complexity, not by the queue

Kairos takes the loss notice in whatever form it arrives, builds the claim file, settles what is unambiguous, and puts everything else in front of an adjuster with the exposure already quantified.

90s
To human adjuster
48%
Clean claims settled same day
−31%
Inbound status volume
0
Denials issued by the agent

Interactive demo

Watch Kairos work a real case.

Step through it one action at a time. Nothing here is a mock-up of a chat window — these are the actual stages of a run, including the checks that happen before anything visible occurs.

Inbound voice → claims platform0/8 steps

Auto glass claim reported at 11:14pm on a Saturday

A policyholder calls after a highway rock strike cracks a windshield. Comprehensive coverage, $100 deductible, no injuries, vehicle drivable. Human claims staff are offline until Monday.

Full transcript & decision trace

The part most vendors don't show you.

The verbatim conversation plus the reasoning trace behind it: rules fired, thresholds crossed, costs incurred, and every decision the agent deliberately refused to make.

Unlock the trace

Enter your details and it opens on this page. No spam — we only write when we have something worth saying.

What it's for

The problems Kairos exists to solve.

01

Simple claims wait behind complex ones

Queues are chronological, not risk-weighted, so the fastest-settling claims absorb the longest waits.

02

Severity is discovered late

Reserves are set on incomplete information and corrected weeks later, distorting the loss picture.

03

Status chasing is a third of the volume

Inbound calls asking 'where is my claim' produce no coverage outcome and consume adjuster capacity.

Capabilities

What it actually does.

Omnichannel FNOL

Voice, email, portal, SMS, and PDF normalized into one structured claim record with the same fields every time.

Evidence extraction

Estimates, police reports, invoices, and photos parsed into the fields adjudication actually uses, with confidence scores.

Severity triage

Scores exposure at intake so reserves and routing reflect the real claim within minutes.

Clean-claim settlement

Settles inside coverage, inside authority limits, and inside the fraud-signal envelope — otherwise it stops.

Proactive status

Milestone updates pushed to the claimant, removing the status-chasing volume from the queue.

Integrations
  • Claims platform (Guidewire, Duck Creek)
  • Policy admin
  • Payment rails
  • Document / imaging store
  • SIU case management
Guardrails
  • Kairos cannot deny a claim. Denials are human-only, always.
  • Hard authority ceiling per line of business; anything above routes automatically.
  • Any fraud signal above threshold freezes automation and notifies SIU.
  • Coverage determination requires the policy document in the file — no inference from summary data.

Human handoff: Complex, high-severity, or fraud-flagged claims reach a licensed adjuster in under 90 seconds with reserves proposed and evidence indexed.

Questions

Straight answers.

Can Kairos deny a claim?

No — never. Denial is a human decision with regulatory consequences. Kairos settles, pends, or escalates.

What stops it from paying a fraudulent claim?

A fraud score above threshold freezes automation and hands the file to SIU with the signals listed. Sentry independently monitors the pattern.

How high can its payment authority go?

You set it per line of business. Most carriers start low — a few thousand dollars — and raise it as concordance data accumulates.

Related solution

Claims Automation

Explore the solution

Run Kairos against your own workflow.

Bring us one process and a number attached to it. We'll tell you whether an agent moves it.