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.
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
Organizations using Claim Buddy experience measurable improvements:
through automation
using ML scoring
reducing dependency on manual response teams
with real-time insights and analytics
ensuring customer confidence and brand credibility
Claim Buddy is built on Salesforce’s enterprise-grade security foundation, ensuring data protection and compliance across all touchpoints:
Restricts data visibility to authorized users.
Protects sensitive data both at rest and in transit.
Ensure full traceability for compliance and governance.
Governed ML models for explainable, bias-free predictions.
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.