Personal auto.
Loss date, time and location, vehicle identification, drivable status, injuries reported, other party and witness information.
FNOL automation: AI agents that take the loss report and open the claim
Orvera AI is an AI agent company for customer experience teams. Our AI agents take the first notice of loss by phone, chat or text. They capture the loss details and photos, write the claim to your claim system and give the policyholder the number. If a claim needs a person, your team picks it up with the record already written.
What is FNOL automation?
FNOL automation is software that takes a first notice of loss, the first time an insurer or its agent hears about a loss, and turns it into a structured claim record while the policyholder is still on the line.
We do this with AI agents that hold the conversation. The policyholder talks or types. The AI agent asks what a claims rep would ask, and the answers land in your claim system as fields an adjuster can use. The rep who used to key in the loss afterward can pick up the files that need judgment.
What does an Orvera AI agent do on a first notice of loss?
Our AI agent verifies the policyholder, reads the policy from your systems, captures the loss, writes the claim and confirms the next step.
01
Understand and verify.
Identifies the caller and locates the policy.
02
Retrieve.
Reads the policy and claim history from your systems.
03
Act and update.
Captures the loss, writes the claim to your claim system and issues the claim number.
04
Confirm.
Agrees on the next step, and on how the policyholder wants updates.
What the AI agent captures depends on the line. These are the fields on a typical build, and your claim manual sets the final list.
Homeowners and property.
Date and time of the damage, what was damaged, whether anyone was hurt, whether the home is livable, steps taken to prevent further damage, and photos.
What does an AI FNOL call sound like?
Here's the recorded first notice of loss call from our insurance page. It runs about three minutes.
Glenn, first notice of loss
A homeowner calls because a tree fell on the house during a storm. The AI agent finds the policy and takes the date and the damage. It asks if anyone was hurt and if the home is livable, then enters an urgent weather-related claim. By the end of the call, the caller has a claim number, an adjuster's name and updates set up by text. Photos come after the claim is filed.
Which FNOL calls should an AI agent finish, and which go to a person?
The AI agent finishes the clean first-party losses your team agrees on before go-live. Files such as an injury, a third-party claimant, a fire or a total loss go to a person with the record already written.
Finished by the AI agent.
A single-vehicle, no-injury, first-party auto loss. A standard first-party property loss within the scope your claims leaders sign off on.
Goes to a person.
An injury, a third-party claimant, a fire, a total loss, a fraud indicator, a coverage decision, or a commercial or fleet exposure.
The boundary is written into the build and tested before the first live call. Coverage decisions stay with your people, and whoever picks up the file gets the summary and the record already written.
Can policyholders report a claim by text, chat or photo?
Yes. Our AI agents take FNOL on voice, chat and digital channels, and one claim can move from a call to a text thread without the policyholder starting over.
Some policyholders already move around. As of December 2, 2025, JD Power found that 22% of auto and home claims customers rely on multiple channels to find answers to the same question. Inside your own app, the AI agent can run the FNOL as a conversation and guide the photo set your estimating process needs.
Source: JD Power 2025 U.S. Claims Digital Experience Study.
Claims · call, then text
- Policyholder
I need to report a claim. I scraped my car on a pillar in a parking garage.
- AI agent
I can take that now. Is everyone okay?
- Policyholder
Yes, it's just the bumper.
- AI agent
Thanks. I've texted you a link for a photo or two.
- Policyholder sends photos: rear bumper
- AI agent
Got them. Your claim is open, and the number is in your texts.
Claim opened · written to your claim system
How does FNOL intake hold up when a storm hits?
Storm-day FNOL runs on the same AI agents, which are engineered to handle substantial capacity without throttling, and your adjusters stay on the files that need them.
Verisk put catastrophe claims at 43% of US property claim assignments in the second quarter of 2026, up from 34% five years ago, as routine claims fell faster (as of October 6, 2026). A claims floor sized for a normal week meets a storm surge within hours. Hiring and training take weeks. Read more on catastrophe surge overflow answering.
Source: Risk & Insurance on Verisk's Q2 2026 property report.
What happens after the claim is open?
After the claim is open, the same platform stays with the policyholder through status updates, missing documents and inspection scheduling.
The right handler.
A file that needs a person reaches one with the record already written.
Status updates.
Policyholders get answers on claim status, by call or text.
Documents and scheduling.
Missing documents are chased and inspections are booked.
JD Power put the average time to final payment on a homeowners claim at 40.7 days, as of March 17, 2026. Every one of those days can bring a status call, and that is where proactive claim status calls come in.
Source: JD Power 2026 U.S. Property Claims Satisfaction Study.
Which systems does Orvera FNOL connect to?
We connect to the policy, claims and contact center systems a carrier already runs, and write the claim back to your claim system.
- Policy and claims.
- Guidewire, Duck Creek Technologies, Majesco, Socotra, Insurity, FINEOS.
- Contact center platforms.
- Genesys Cloud, Five9, Amazon Connect, NiCE CXone, Talkdesk.
- CRM.
- Salesforce, Microsoft Dynamics 365, HubSpot.
- Documents and e-signature.
- DocuSign, Box.
- Agency management.
- Zywave.
We list 500+ integrations. We provide VoIP phone lines in the US and Canada, or connect to the phone carrier you already run.
How does Orvera handle state acknowledgment deadlines on FNOL?
We capture the FNOL, issue the claim number and the acknowledgment, and write a full transcript, structured summary and metadata to the claim file. Your compliance team gets a record of what was said and when.
Deadlines vary by state. California requires insurers to acknowledge a notice of claim immediately, and no later than 15 calendar days after receiving it, and its definition covers written or oral notice. Texas requires acknowledgment by the 15th day after an insurer receives written notice of a first-party claim, or the 30th business day for eligible surplus lines insurers, and requires a record of the date, manner and content when the acknowledgment is not in writing. Texas adds 15 days after a weather-related catastrophe or major natural disaster. We audit 100% of claim conversations, human-handled and AI-handled, against state claim-handling rules and your own claim manual. This is a general summary and is not legal advice.
Our AI agents answer only from the forms and manuals you approve.
Permissions, guardrails and policy get set per channel and per use case.
We're SOC 2 Type II certified, HIPAA compliant and GDPR compliant.
Sources: 10 CCR 2695.5(e), California, Texas Insurance Code chapter 542. Read October 31, 2026.
Which metrics should FNOL automation move?
Minutes to claim number and claims opened per hour should move first, since the record gets written during the call.
After that, read the numbers your floor already reports. Across our customer engagements, first-contact resolution runs at roughly 80%. Average handle time falls 8% to 15% within the first 90 days, largely through Agent Assist on the human-handled calls. Those are averages from those engagements, and results vary by engagement. A US personal lines auto insurer runs on Orvera.
How long does an FNOL deployment take?
Full deployment of our AI agents, end to end, takes 3 to 6 weeks once scope is agreed and system access is in place.
We turn your claim manual, coverage rules and scripts into structured workflows, then test them across real scenarios before a single live call. Our Forward Deployed Engineers connect your systems. Our operations experts set handling standards and review quality. Your business owners approve knowledge, action permissions and changes. Timing depends on workflow complexity and your requirements.
We're built on 18+ years of contact-center experience. Start with first notice of loss, then add claim status, documents and billing in stages.
Questions claims leaders ask about FNOL automation
What does FNOL stand for?
FNOL stands for first notice of loss, the first time an insurer or its agent hears about a loss. Regulators often use the term notice of claim, and each state defines what counts. California includes written or oral notice, and Texas limits it to written notice.
Does the AI agent make coverage decisions?
No. The AI agent captures the loss and answers from the forms and manuals you approve. A coverage decision goes to a person on your team.
Can it take loss reports after hours and on weekends?
Yes. Our AI agents work 24/7, so a loss reported at 11:30 at night opens a claim on the same build as one reported at noon. Your team sets what happens to any file that needs a person overnight.
Does it work with our claim system?
Our integrations list includes Guidewire, Duck Creek Technologies, Majesco, Socotra, Insurity and FINEOS. A system missing from the directory is built inside the 3 to 6 week deployment.
Can we start with auto and add property later?
Yes. Orvera is one platform, adopted in stages. Personal auto is a natural first line because losses arrive every day, and property with catastrophe surge handling can follow before storm season.
How does a claims team get started?
Start with first notice of loss. Name the use case, model your own numbers, then run the security and integration review.
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