LLM_Engineering_OLD/week5/knowledge-base/contracts/Contract with Rapid Claims Associates for Claimllm.md

Contract with Rapid Claims Associates for Claimllm

Contract Date: March 1, 2025 Contract Number: CL-2025-0063 Parties:

• Insurellm, Inc.
• Rapid Claims Associates, LLC

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Terms

1. Coverage: Insurellm agrees to provide Rapid Claims Associates with access to the Claimllm platform, enabling AI-powered claims processing, automated triage, and streamlined claims management across property, casualty, and auto lines.

2. Duration: This agreement is effective for a period of 12 months from the contract date, with automatic renewal provisions unless terminated with 30-day written notice.

3. Payment: Rapid Claims Associates shall pay a monthly fee of $4,500, due by the 1st of every month for the Core Tier package, supporting up to 5,000 claims annually.

4. Overage Fees: If claims volume exceeds 5,000 annually, overage fees of $0.90 per claim apply, billed quarterly.

5. Confidentiality: Both parties agree to maintain confidentiality of proprietary information, claimant data, and processing methodologies disclosed during this contract.

6. Data Ownership: Rapid Claims Associates retains ownership of all claims data. Insurellm may use anonymized, aggregated data for product improvement.

7. Liability: Insurellm's liability is limited to direct damages not exceeding total fees paid in the preceding 6 months.

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Renewal

Unless either party provides written notice of termination at least 30 days prior to contract expiration, this agreement automatically renews for successive 12-month terms. Pricing may be adjusted annually with 60 days' advance notice, capped at 10% increase per year.

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Features

Rapid Claims Associates will receive the following Core Tier features:

1. Intelligent FNOL Processing: Multi-channel first notice of loss intake via:

   • Mobile app integration
   • Web portal submission
   • Email parsing with NLP extraction
   • Phone system integration with IVR
   • Chatbot-assisted intake

2. Automated Triage and Routing: Machine learning algorithms assess claim severity and complexity to route appropriately:

   • Low-complexity claims → automated processing
   • Medium-complexity claims → junior adjuster queue
   • High-complexity/high-value claims → senior adjuster assignment
   • Fraud-flagged claims → special investigation unit

3. Basic Document Processing: OCR and NLP extraction from:

   • Police reports
   • Repair estimates
   • Medical bills and records
   • Witness statements
   • Photo and video evidence

4. Standard Fraud Detection: Rule-based fraud screening including:

   • Duplicate claim detection
   • Unusual pattern identification
   • Loss location verification
   • Claimant history review

5. Claimant Communication Hub: Automated status updates via:

   • SMS text messages
   • Email notifications
   • Mobile app push notifications
   • Scheduled status update intervals

6. Basic Reporting: Standard dashboards tracking:

   • Claims volume and cycle time
   • Average settlement amounts
   • Adjuster productivity metrics
   • Customer satisfaction scores

7. Payment Processing: Integration with payment systems for:

   • Direct deposit (ACH)
   • Check issuance
   • Digital wallets (PayPal, Venmo)
   • Simple multi-party splits

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Support

Insurellm commits to providing comprehensive support to Rapid Claims Associates:

1. Onboarding: 2-week implementation program including:

   • System configuration and data migration
   • Training for up to 10 claims staff members (12 hours total)
   • Process workflow mapping and optimization
   • Integration with existing claims management system

2. Technical Support:

   • Email and phone support Monday-Friday 8 AM - 6 PM EST
   • Response time: 8 hours for critical issues, 24 hours for standard requests
   • Online knowledge base and FAQ access
   • Monthly platform office hours for questions

3. Platform Updates:

   • Quarterly feature releases with new capabilities
   • Monthly security patches and bug fixes
   • Release notes and changelog documentation
   • Advance notice of breaking changes (minimum 30 days)

4. Account Management:

   • Named customer success manager
   • Semi-annual business review meetings
   • Usage analytics and optimization recommendations
   • Assistance with tier upgrade evaluation when volume grows

5. Integration Support: Technical assistance connecting Claimllm with:

   • Existing claims management systems
   • Policy administration platforms
   • Vendor management networks (repair shops, medical providers)
   • Payment processing systems

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Signatures:

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Sarah Chen Title: Vice President of Sales Insurellm, Inc. Date: March 1, 2025

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Marcus Johnson Title: Chief Claims Officer Rapid Claims Associates, LLC Date: March 1, 2025

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This agreement represents the complete understanding between Insurellm and Rapid Claims Associates regarding the Claimllm platform and supersedes any prior communications or agreements.