Claim Buddy Agents | Transform Your Business with Bugendaitech

Smarter Claim Management with Agentforce

Claim Buddy - An AI Agent built on Agentforce to detect fraud that streamlines and personalizes insurance Claim management for faster, smarter resolutions.

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Problem Statement

The insurance industry faces significant challenges in managing claims efficiently:

Manual claim handling is slow, inconsistent, and costly.

High volume of repetitive queries such as claim status or tracking.

Rising number of fraudulent claims impacting profitability.

Growing demand for 24/7 proactive customer support.


Claim Buddy was created to address these issues — empowering insurers with automation, real-time insights, and intelligent fraud detection.


What is Claim Buddy?

Claim Buddy is the AI-driven fraud detection platform. It uses predictive analytics and machine learning to detect anomalies in claim behavior — identifying risks before they turn into losses.

By analyzing claim history, transaction patterns, and behavioral signals, Fraud Protect:

Detects suspicious or duplicate claims

Flags inconsistencies for further verification

Continuously learns and improves accuracy with each new dataset

This ensures insurers can maintain trust, minimize fraudulent payouts, and improve overall claim integrity.



Business Impacts

Organizations using Claim Buddy experience measurable improvements:

60% Faster Claim Resolution

through automation

40% Higher Fraud Detection

using ML scoring

24/7 Customer Support

reducing dependency on manual response teams

Data-Driven Decision-Making

with real-time insights and analytics

Enhanced Trust and Compliance

ensuring customer confidence and brand credibility



Tech Stack Used



Our Objectives



Objectives
  • Automate full claim lifecycle
  • Embed fraud detection early
  • Provide real-time visibility & decisioning
  • Deliver conversational experience
  • Enforce security & compliance


Security First

Claim Buddy is built on Salesforce’s enterprise-grade security foundation, ensuring data protection and compliance across all touchpoints:

Role-Based Access Control (RBAC)

Restricts data visibility to authorized users.

Salesforce Shield Encryption

Protects sensitive data both at rest and in transit.

Audit Logs & Trails

Ensure full traceability for compliance and governance.

Ethical AI Practices

Governed ML models for explainable, bias-free predictions.



Claim Buddy Flow

Built entirely on Agentforce, Claim Buddy’s flow streamlines the complete claim lifecycle:

This flow ensures a seamless, automated, and transparent claim experience — without manual intervention.

Fraud Detection

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