LLM_Engineering_OLD/week5/knowledge-base/contracts/Contract with National Claims Network for Claimllm.md

Contract with National Claims Network for Claimllm

Contract Date: April 20, 2025 Contract Number: CL-2025-E-0198 Parties:

• Insurellm, Inc.
• National Claims Network Corp.

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Terms

1. Coverage: Insurellm agrees to provide National Claims Network with enterprise access to the Claimllm platform, including white-label capabilities, unlimited claims capacity, advanced fraud analytics, and dedicated infrastructure to support their nationwide claims operations processing over 100,000 claims annually.

2. Duration: This agreement is effective for a period of 36 months from the contract date, representing Insurellm's longest-term contract commitment to date.

3. Payment: National Claims Network shall pay custom Enterprise Tier pricing of $35,000 per month for months 1-12, $38,000 per month for months 13-24, and $41,000 per month for months 25-36, totaling $1,368,000 over the contract term.

4. Service Level Agreement: Insurellm guarantees 99.95% uptime with financial credits for downtime: 5% monthly credit for each hour of unplanned downtime, maximum 50% monthly credit.

5. Confidentiality: Both parties agree to maintain the highest level of confidentiality regarding proprietary AI models, fraud detection algorithms, claimant PII, and business strategies.

6. Data Security: Insurellm commits to maintaining SOC 2 Type II compliance, annual penetration testing, and end-to-end encryption for all data at rest and in transit.

7. Business Continuity: Insurellm provides disaster recovery with 4-hour RTO (Recovery Time Objective) and 1-hour RPO (Recovery Point Objective).

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Renewal

This agreement includes a mutual 120-day renewal notice period. National Claims Network receives guaranteed enterprise pricing for renewal equal to or better than new enterprise customers at renewal time. Contract may be extended in 12-month increments with mutual written agreement.

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Features

National Claims Network will receive the complete Claimllm Enterprise suite:

1. Unlimited Claims Processing: No volume restrictions, supporting National's processing of 100,000+ claims annually with scalability to 500,000+ claims as business grows.

2. White-Label Platform: Complete branding customization including:

   • Custom domain names (claims.nationalclaimsnetwork.com)
   • Branded mobile apps (iOS and Android)
   • Customized email templates and communications
   • Co-branded claimant portals

3. Advanced Computer Vision: State-of-the-art damage assessment:

   • Auto damage analysis with 95%+ accuracy on repair estimates
   • Property damage evaluation (roofs, siding, interiors, water damage)
   • Medical imaging analysis for injury claims
   • 3D reconstruction from photo sets
   • Integration with all major estimating platforms

4. Enterprise Fraud Analytics:

   • Real-time fraud scoring on all claims
   • Social network analysis across 10+ years of historical data
   • Dark web monitoring for organized fraud rings
   • Predictive models trained on 5M+ historical claims
   • Link analysis connecting related parties, addresses, and claims patterns
   • Integration with third-party fraud databases (NICB, ISO ClaimSearch)

5. Complete API Access: Unlimited API calls supporting:

   • Real-time integrations with 50+ carrier policy systems
   • Bi-directional data sync with National's data warehouse
   • Third-party integrations (repair networks, medical providers, legal vendors)
   • Custom automation workflows

6. AI-Powered Litigation Prediction: Predictive analytics identifying claims with high litigation probability:

   • Attorney involvement prediction (85%+ accuracy)
   • Recommended settlement ranges based on jurisdiction and case law
   • Early intervention recommendations
   • Litigation cost estimation

7. Catastrophe Claims Management: Specialized tools for major events:

   • Rapid deployment playbooks for natural disasters
   • Geographic clustering and resource allocation
   • Emergency vendor network activation
   • Real-time damage assessment using satellite imagery
   • Mobile claims units with offline capability

8. Advanced Vendor Management:

   • Network of 5,000+ preferred vendors nationwide
   • AI-powered vendor matching and assignment
   • Real-time capacity management and scheduling
   • Quality scoring and performance analytics
   • Automated vendor payments and 1099 management

9. Predictive Analytics Suite:

   • Claim outcome prediction and reserve optimization
   • Subrogation opportunity identification
   • Salvage value estimation
   • Customer satisfaction prediction and intervention triggers
   • Cycle time optimization recommendations

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Support

Insurellm commits to comprehensive Enterprise-level support for National Claims Network:

1. Dedicated Success Team:

   • Executive sponsor (VP level) with monthly strategic reviews
   • Dedicated Customer Success Manager with daily availability
   • Technical Account Manager for system optimization
   • Solutions Architect for ongoing innovation
   • Quarterly executive business reviews with CEO participation

2. 24/7/365 Premium Support:

   • Guaranteed 10-minute response time for P1 critical issues
   • 30-minute response for P2 high-priority issues
   • 2-hour response for P3 standard issues
   • Dedicated support hotline with no phone tree
   • Private Slack channel with engineering team access
   • Annual on-site support visits (minimum 4 per year)

3. Comprehensive Implementation:

   • 9-month phased implementation program
   • Dedicated project management office (PMO)
   • Executive steering committee with monthly meetings
   • Migration of 3 years of historical claims data
   • Training for 200+ National Claims Network staff
   • Parallel processing period with legacy system
   • Go-live support with on-site Insurellm team (4 weeks)

4. Training and Enablement:

   • Role-based training programs (adjusters, supervisors, fraud investigators, IT, executives)
   • Train-the-trainer program for National's learning team
   • Certification programs with continuing education credits
   • Annual user conference attendance (3 attendees)
   • Quarterly advanced training sessions
   • Unlimited access to online learning platform

5. Custom Development:

   • 1,000 hours annually of custom development included
   • Dedicated development team for National-specific features
   • Priority feature requests with guaranteed roadmap inclusion
   • Beta program participation for all new features
   • Input into product strategy and direction

6. Integration Services:

   • Enterprise integration with National's systems:
     • Policy administration systems (multiple carriers)
     • Data warehouse and business intelligence platforms
     • Financial systems (SAP, Oracle)
     • Document management (SharePoint, M-Files)
     • Communication platforms (Twilio, SendGrid)
   • Ongoing integration support with 4-hour response SLA
   • Quarterly integration health assessments

7. Analytics and Reporting:

   • Custom executive dashboard development
   • Real-time operational dashboards
   • Automated daily, weekly, and monthly reporting
   • Ad-hoc analytics support (up to 20 requests/month)
   • Industry benchmarking and competitive analysis
   • Predictive modeling consultation

8. Continuous Improvement:

   • Quarterly process optimization workshops
   • Annual efficiency audits with recommendations
   • Best practice sharing from across Insurellm customer base
   • Innovation labs to pilot emerging technologies (AI, blockchain, IoT)

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Signatures:

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Jennifer Rodriguez Title: Chief Executive Officer Insurellm, Inc. Date: April 20, 2025

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Amanda Richardson Title: President & Chief Operating Officer National Claims Network Corp. Date: April 20, 2025

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This agreement represents a strategic partnership between Insurellm and National Claims Network, establishing National Claims Network as Insurellm's flagship enterprise claims processing partner. This contract supersedes all prior agreements and communications.