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LLM_Engineering_OLD/week5/knowledge-base/contracts/Contract with Rapid Claims Associates for Claimllm.md
2025-11-04 07:26:42 -05:00

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# Contract with Rapid Claims Associates for Claimllm
**Contract Date:** March 1, 2025
**Contract Number:** CL-2025-0063
**Parties:**
- Insurellm, Inc.
- Rapid Claims Associates, LLC
---
## 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
---
## 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:**
_________________________________
**Sarah Chen**
**Title**: Vice President of Sales
**Insurellm, Inc.**
**Date**: March 1, 2025
_________________________________
**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.