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Insurance · claims & FNOL

Model the claims economics of FNOL automation and adjuster assist.

Built for claims, operations and transformation leaders at carriers and MGAs. Handling cost, straight-through processing, cycle time and leakage in one defensible model.

Your inputs

Benchmarks show typical enterprise ranges — override every field with your own numbers.

All lines in scope for automation

Benchmark: 100k–1M for a regional to national carrier

Adjuster time, intake, document handling and QA

Benchmark: $90–$260 depending on line of business

30%

Low-complexity claims adjudicated without adjuster touch

Benchmark: 25–45% in personal lines

18%

From document AI, summarisation and adjuster assist

Benchmark: 12–25%

4 days

Average days between FNOL and closure

Benchmark: 3–8 days

Total claim payouts in scope, used for leakage modelling

Benchmark: Typically 60–75% of earned premium

0.5%

Points of indemnity avoided through consistent adjudication

Benchmark: 0.3–1.0 points

Document AI, core integration, model governance and change management

Benchmark: $600k–$1.8M

Annual claims value created
$18,718,800

Handling-cost savings plus leakage avoided and cycle-time value.

Claims auto-adjudicated72,000 / yr
Handling cost avoided$13,258,800
Leakage avoided$2,100,000
Cycle-time value$3,360,000
Simple payback0.6 months
Share & export

Directional estimate. Assumes STP claims retain 15% of handling cost for audit and exceptions, and values each removed cycle day at $3.50 per claim.

Three-scenario view

Finance reviewers expect a range. These scenarios flex adoption and implementation cost around the model you entered.

Conservative
$13,770,738
0.9 mo payback

Slower adoption, higher integration effort

Base caseYour inputs
$18,718,800
0.6 mo payback

Your inputs as entered

Aggressive
$21,971,250
0.4 mo payback

Strong sponsorship, clean data, phased scale-up

How enterprise leaders use this model

What drives ROI in claims automation?
Three levers compound: intake automation (FNOL capture and document ingestion), straight-through processing on low-complexity claims, and adjuster assist that shortens handling time on the rest.
How should we model claims leakage?
Leakage is overpayment from inconsistent adjudication and missed subrogation. Even a 0.5-point reduction on total indemnity paid usually outweighs handling-cost savings, so it is modelled separately here.
Does faster cycle time have measurable value?
Yes — shorter cycle time reduces loss-adjustment expense, litigation propensity and inbound status contacts. This model attributes a conservative per-day carrying value to each day removed.
What is realistic straight-through processing for personal lines?
Carriers typically reach 25–45% STP on low-complexity auto and property claims within 18 months; commercial lines run lower because of adjuster judgment and coverage complexity.