138 lines
5.0 KiB
Markdown
138 lines
5.0 KiB
Markdown
# Contract with Rapid Claims Associates for Claimllm
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**Contract Date:** March 1, 2025
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**Contract Number:** CL-2025-0063
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**Parties:**
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- Insurellm, Inc.
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- Rapid Claims Associates, LLC
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---
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## Terms
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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.
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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.
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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.
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4. **Overage Fees:** If claims volume exceeds 5,000 annually, overage fees of $0.90 per claim apply, billed quarterly.
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5. **Confidentiality:** Both parties agree to maintain confidentiality of proprietary information, claimant data, and processing methodologies disclosed during this contract.
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6. **Data Ownership:** Rapid Claims Associates retains ownership of all claims data. Insurellm may use anonymized, aggregated data for product improvement.
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7. **Liability:** Insurellm's liability is limited to direct damages not exceeding total fees paid in the preceding 6 months.
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---
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## Renewal
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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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---
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## Features
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Rapid Claims Associates will receive the following Core Tier features:
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1. **Intelligent FNOL Processing:** Multi-channel first notice of loss intake via:
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- Mobile app integration
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- Web portal submission
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- Email parsing with NLP extraction
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- Phone system integration with IVR
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- Chatbot-assisted intake
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2. **Automated Triage and Routing:** Machine learning algorithms assess claim severity and complexity to route appropriately:
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- Low-complexity claims → automated processing
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- Medium-complexity claims → junior adjuster queue
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- High-complexity/high-value claims → senior adjuster assignment
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- Fraud-flagged claims → special investigation unit
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3. **Basic Document Processing:** OCR and NLP extraction from:
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- Police reports
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- Repair estimates
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- Medical bills and records
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- Witness statements
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- Photo and video evidence
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4. **Standard Fraud Detection:** Rule-based fraud screening including:
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- Duplicate claim detection
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- Unusual pattern identification
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- Loss location verification
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- Claimant history review
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5. **Claimant Communication Hub:** Automated status updates via:
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- SMS text messages
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- Email notifications
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- Mobile app push notifications
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- Scheduled status update intervals
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6. **Basic Reporting:** Standard dashboards tracking:
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- Claims volume and cycle time
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- Average settlement amounts
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- Adjuster productivity metrics
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- Customer satisfaction scores
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7. **Payment Processing:** Integration with payment systems for:
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- Direct deposit (ACH)
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- Check issuance
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- Digital wallets (PayPal, Venmo)
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- Simple multi-party splits
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---
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## Support
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Insurellm commits to providing comprehensive support to Rapid Claims Associates:
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1. **Onboarding:** 2-week implementation program including:
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- System configuration and data migration
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- Training for up to 10 claims staff members (12 hours total)
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- Process workflow mapping and optimization
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- Integration with existing claims management system
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2. **Technical Support:**
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- Email and phone support Monday-Friday 8 AM - 6 PM EST
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- Response time: 8 hours for critical issues, 24 hours for standard requests
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- Online knowledge base and FAQ access
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- Monthly platform office hours for questions
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3. **Platform Updates:**
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- Quarterly feature releases with new capabilities
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- Monthly security patches and bug fixes
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- Release notes and changelog documentation
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- Advance notice of breaking changes (minimum 30 days)
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4. **Account Management:**
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- Named customer success manager
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- Semi-annual business review meetings
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- Usage analytics and optimization recommendations
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- Assistance with tier upgrade evaluation when volume grows
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5. **Integration Support:** Technical assistance connecting Claimllm with:
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- Existing claims management systems
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- Policy administration platforms
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- Vendor management networks (repair shops, medical providers)
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- Payment processing systems
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---
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**Signatures:**
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_________________________________
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**Sarah Chen**
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**Title**: Vice President of Sales
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**Insurellm, Inc.**
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**Date**: March 1, 2025
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_________________________________
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**Marcus Johnson**
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**Title**: Chief Claims Officer
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**Rapid Claims Associates, LLC**
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**Date**: March 1, 2025
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---
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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.
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