124 lines
5.6 KiB
Markdown
124 lines
5.6 KiB
Markdown
# Contract with Premier Adjusters Inc. for Claimllm
|
|
|
|
---
|
|
|
|
## Terms
|
|
|
|
1. **Agreement Effective Date**: This contract is effective as of February 15, 2025.
|
|
2. **Duration**: This agreement will remain in effect for a term of 24 months, concluding on February 14, 2027.
|
|
3. **Subscription Type**: Premier Adjusters Inc. agrees to subscribe to the **Advanced Tier** of Claimllm, at a cost of $9,500/month, totaling $228,000 for the duration of this contract.
|
|
4. **Claims Volume**: Advanced Tier supports up to 25,000 claims annually. Current baseline estimate: 18,000 claims/year.
|
|
5. **Payment Terms**: Payments are due on the 5th of each month via wire transfer. Late payments will incur a penalty of 1.8% per month.
|
|
6. **Performance Guarantees**: Insurellm guarantees average FNOL-to-assignment time of less than 2 hours, and fraud detection accuracy of 85%+ on confirmed fraud cases.
|
|
7. **Termination Clause**: Either party may terminate this agreement with 60 days' written notice. No early termination fees after 12 months.
|
|
|
|
---
|
|
|
|
## Renewal
|
|
|
|
1. **Automatic Renewal**: This agreement will automatically renew for an additional 24-month term unless either party provides written notice of non-renewal at least 60 days before expiration.
|
|
2. **Pricing Adjustments**: Renewal pricing subject to annual CPI adjustment, maximum 7% increase.
|
|
3. **Tier Flexibility**: Premier may move to Enterprise tier at renewal or annually with 45 days' notice and prorated adjustment.
|
|
|
|
---
|
|
|
|
## Features
|
|
|
|
1. **Access to Advanced Tier Features**: Premier Adjusters Inc. will have access to comprehensive claims automation:
|
|
- Intelligent FNOL Processing across all communication channels
|
|
- Automated Triage and Routing with ML-based severity assessment
|
|
- **Computer Vision Damage Assessment** with photo/video analysis and automated repair cost estimation
|
|
- **Predictive Fraud Detection** with network analysis and anomaly detection
|
|
- Smart Document Processing with OCR, NLP, and auto-extraction from medical records, police reports, and estimates
|
|
- Dynamic Reserve Setting with AI-powered predictive modeling
|
|
- Vendor Management Platform with automated assignment and performance tracking
|
|
- Payment Automation for approved claims with multi-party splitting
|
|
- Claimant Communication Hub with omnichannel messaging
|
|
- **Advanced Analytics** with predictive cycle time modeling and settlement optimization
|
|
|
|
2. **Computer Vision Capabilities:**
|
|
- Automated vehicle damage assessment from photos (dents, scratches, structural damage)
|
|
- Property damage evaluation (roof, siding, interior damage)
|
|
- Severity scoring and repair cost estimation
|
|
- Parts identification and replacement recommendations
|
|
- Integration with estimating systems (CCC, Mitchell, Audatex)
|
|
|
|
3. **Fraud Analytics:**
|
|
- Social network analysis to identify claim rings
|
|
- Geospatial anomaly detection
|
|
- Behavioral pattern matching against known fraud indicators
|
|
- Third-party data enrichment (public records, social media)
|
|
- Predictive fraud scoring with explanation rationale
|
|
|
|
4. **Vendor Network:**
|
|
- Support for 200+ preferred vendors (repair shops, medical providers, attorneys)
|
|
- Automated work assignment based on location, capacity, and quality scores
|
|
- Real-time vendor availability and scheduling
|
|
- Vendor performance dashboards and scorecards
|
|
|
|
---
|
|
|
|
## Support
|
|
|
|
1. **Technical Support**: Premier Adjusters Inc. will receive priority advanced support:
|
|
- Dedicated technical support team
|
|
- 24/7 emergency hotline for critical system issues
|
|
- Response time: 2 hours critical, 6 hours high priority, 12 hours standard
|
|
- Dedicated Slack channel for real-time communication
|
|
|
|
2. **Training**: Comprehensive training program:
|
|
- 4-week implementation with on-site support (first 2 weeks)
|
|
- Training for up to 40 staff members (adjusters, supervisors, IT)
|
|
- Role-specific training tracks (FNOL specialists, senior adjusters, fraud investigators)
|
|
- Monthly advanced training webinars on new features
|
|
- Annual adjuster certification program
|
|
- Access to online training portal with 50+ courses
|
|
|
|
3. **Updates and Maintenance**:
|
|
- Monthly platform updates with new features
|
|
- Bi-weekly security patches and improvements
|
|
- Maintenance windows: Saturday 11 PM - Sunday 4 AM EST
|
|
- 72-hour advance notice for major updates
|
|
- Option to delay non-critical updates by up to 30 days
|
|
|
|
4. **Account Management**:
|
|
- Named Customer Success Manager with weekly check-ins (first 90 days), then bi-weekly
|
|
- Quarterly executive business reviews with metrics analysis
|
|
- Annual strategic planning session
|
|
- Direct escalation path to VP of Customer Success
|
|
|
|
5. **Integration Services**:
|
|
- Integration with Premier's core systems:
|
|
- Guidewire ClaimCenter
|
|
- Salesforce CRM
|
|
- DocuSign for settlement documents
|
|
- Payment processing systems (CheckFree, AvidXchange)
|
|
- Custom API development (up to 100 hours included)
|
|
- Ongoing integration support and optimization
|
|
|
|
6. **Data and Analytics:**
|
|
- Custom dashboard development (up to 5 dashboards)
|
|
- Monthly data exports in preferred format
|
|
- Benchmark comparisons against industry standards
|
|
- Predictive analytics consultation sessions
|
|
|
|
---
|
|
|
|
**Signatures:**
|
|
|
|
_________________________________
|
|
**Sarah Chen**
|
|
**Title**: Vice President of Sales
|
|
**Insurellm, Inc.**
|
|
**Date**: February 15, 2025
|
|
|
|
_________________________________
|
|
**David Kowalski**
|
|
**Title**: President & CEO
|
|
**Premier Adjusters Inc.**
|
|
**Date**: February 15, 2025
|
|
|
|
---
|
|
|
|
*This contract establishes Premier Adjusters Inc. as a strategic partner of Insurellm, leveraging advanced AI-powered claims technology to deliver superior service to their clients while optimizing operational efficiency.*
|