First Notification of Loss (FNOL)

AI acceleration for Insurance, delivered by Alteryx
    alteryx

 

 

Business challenge

Handling First Notification of Loss (FNOL) claims is a slow, manual, and costly process for insurers, impacting both customer service and risk management.

FNOL cases arrive in multiple formats and channels, requiring significant effort to review, validate, and process.

Rapid and accurate triage, fraud scoring, and timely customer response are essential to deliver a positive customer experience while effectively managing claims risk and operational cost.

 

 

The approach

Alteryx automates end-to-end First Notification of Loss (FNOL) using two specialised AI agents for claims validation and case management, handling incoming claims and generating customer responses.

Alteryx embeds FNOL business logic into workflows to ensure consistent email processing and accurate fraud scoring.

The solution is underpinned by scalable data foundations on Google BigQuery, enabling efficient policy and customer lookups.

Business benefits:

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Faster FNOL response

Automated AI agents validate claims, manage cases, and generate customer responses in real time

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Real-time fraud detection

Inbound notifications are analysed for fraud risk immediately, using integrated data and Alteryx workflows

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Intelligent, end-to-end automation

Agentic AI handles emails, updates CMS systems, and requests additional customer information as needed

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Auditable and extensible system

All claims, data flows, and fraud models are fully auditable, controlled, and easily integrated across systems

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Data-driven accuracy

Customer and policy data from BigQuery underpin consistent, accurate claim reviews and decisions

About the accelerator:

Data sources

  • Inbound FNOL notifications (email and other customer channels)
  • Claims management system 
  • Policy administration systems
  • Customer master data
  • Fraud and risk scoring models and historical claims data

Description

  • Alteryx automates FNOL using two AI agents for claims validation and case management
  • Handles incoming claims and generates customer responses
  • Embedded business logic ensures consistent email processing and accurate fraud scoring
  • Supported by scalable Google BigQuery data foundations for efficient policy and customer lookups.

Key features

  • Automated claims triage
  • Real-time fraud scoring and customer response generation
  • Alteryx-driven business logic for consistent processing
  • Automated case creation and updates
  • Scalable policy and customer search
  • Auditable, extensible agentic architecture across systems

Why Alteryx?

Alteryx is an intuitive, no-code/low-code platform that enables rapid data preparation, blending, and advanced analytics to automate complex, manual, and repetitive spreadsheet tasks, reducing errors and accelerating financial reporting.

Learn more
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