Coverage Questions, From a Policy-Document Hunt to a Cited Answer

An adjuster triaging a claim needs to know whether a specific circumstance is covered under this policy's wording, and whether the claimant has a relevant prior claim history that affects the decision. Today that means searching the policy document for the relevant clause and separately checking claim history systems — for every claim, every time.

The Saarthi Claims Triage Copilot Agent answers coverage questions directly, grounded in the specific policy's own wording and the claimant's claim history — citing exactly which policy clause or prior record it drew the answer from.

The reason this needs to be agentic rather than a policy-document search is that a real coverage question often depends on both the policy wording and the claim history together — the agent has to retrieve from both, reconcile what each says, and decide whether it has a citable answer before responding, not just return the first clause that matches a keyword.

Adjusters get a grounded, cited coverage answer instead of searching policy wording and claim history separately for every question, and can move a claim forward with the reasoning already documented.