brad/LLM_Engineering_OLD
1
0
Fork 0
Code Issues Pull Requests Actions Packages Projects Releases Wiki Activity
Files
b02c10734e2afba0bf82f7d32ac0b3badf6ca9df
LLM_Engineering_OLD/week5/knowledge-base/contracts/Contract with Premier Adjusters Inc. for Claimllm.md
Edward Donner e5c3fcab46 Updated Week 5 with November version
2025-11-04 07:26:42 -05:00

5.6 KiB
Raw Blame History

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.

Reference in New Issue View Git Blame Copy Permalink