Settle Claims Faster. Reduce Leakage. Deliver Experiences That Retain.

Automate the full claims lifecycle from FNOL to settlement, combining production-ready AI agents with the human expertise to handle what AI cannot, delivering 70%+ FNOL automation and measurable loss ratio improvement across all lines.

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A streamlined and effective claims process is the ultimate test for providers. It can make or break customer retention. Currently, many insurance claims processes are costly, complex, time-consuming, labor-intensive, and prone to errors and fraud.

Sutherland CognilinkClaims is a cutting-edge P&C solution built with Sutherland’s AI, analytics, and automation expertise. It reimagines claims to reduce fraud and costs, accelerating positive outcomes. Intuitive and transformative, it enhances the claims journey and delivers an exceptional stakeholder experience.

Who We Serve

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Personal Lines

High-volume, high-frequency claims that demand speed and consistency — property, auto, home, and contents. Cognilink Claims automates FNOL to settlement for standard claims, with The Detective running on every submission and NPS measurement at every touchpoint.

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Case Studies

Sutherland Robility® Fortune 500 Group Benefits Insurer Property and Casualty insurer
61%GWP Growth
61%

GWP Growth and 40% Zero-Touch Claims Achieved

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28%Efficiency Boost
28%

Efficiency Boost

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30%Cost Reduction
30%

Cost Reduction, 20% NPS uplift,

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The Cognilink Claims Platform — From FNOL to Settlement

An end-to-end AI-powered claims digitisation platform covering every stage of the claims lifecycle — intake, triage, fraud detection, adjudication, payment, and recovery — across Personal Lines, Commercial Lines, and Specialty.

Stage 1: AI-Powered FNOL Intake & Triage

70%+ of FNOL intake automated — across voice, digital, and self-service channels. AI-driven triage immediately classifies claim complexity, assigns priority, routes to the right handler, and triggers the appropriate workflow. Claims that can settle straight-through do. Complex cases reach the right specialist with full context already assembled. Powered by: Conversational AI · Extract.AI · Sutherland Connect

Stage 2: The Detective — AI Fraud Detection

Sutherland’s named fraud detection AI agent — deployed in live claims operations today. The Detective analyses claim data, policyholder behaviour, third-party information, and network relationships in real time, flagging suspicious patterns across 50+ fraud indicators including staged accidents, exaggerated losses, and organised fraud rings. Every flag is explainable and documented for SIU referral. Powered by: The Detective Agent · FinAI Hub · Insurance AI Hub

Stage 3: Intelligent Document Processing & Assessment

AI-powered extraction and processing of all claims documentation — medical reports, repair estimates, police reports, photos, invoices, and policy documents. Automated valuation models for property and auto claims. Intelligent cross-referencing of third-party data to identify discrepancies, validate coverage, and compress assessment cycle times. Powered by: Extract.AI · Robility® · Digital Appraisal Review

Stage 4: The Judge — AI-Powered Adjudication Decisioning

Sutherland’s named claims adjudication AI agent — making decisioning recommendations across straightforward claims while flagging complex or disputed cases for human adjuster review. The Judge applies policy terms, coverage rules, and liability guidelines consistently across every claim — eliminating the inconsistency, coverage leakage, and compliance risk that manual adjudication introduces at scale. Powered by: The Judge Agent · FinAI Hub · Insurance AI Hub

Stage 5: Settlement, Payment & Recovery

Automated claims payment across standard settlement scenarios — AutoPay for pre-approved claim types. Real-time policyholder updates via preferred channel. Outcome-based recovery management with $250M+ annual recovery pool managed. CX360 interaction analytics monitoring every touchpoint for quality, compliance, and NPS impact. Powered by: AutoPay · Collect.AI · CX360 · Sutherland Connect

Why Sutherland

The Only Claims Platform with Named, Production AI Agents

Most insurance AI claims solutions describe what the AI will do. Sutherland names the agents running in live operations today: The Detective for fraud, The Judge for adjudication. Built on the Insurance AI Hub — 60+ domain-trained agents, governed for audit, trained on real claims data from 80+ insurers. That is not a technology roadmap. That is a production system.

We Run What We Build

Cognilink Claims is not a platform Sutherland hands over and walks away from. Sutherland operates the claims functions it digitises — as intelligent BPaaS, with commercial models tied to indemnity savings, cycle time improvement, and NPS outcomes. Because we run the operations, the AI learns from real claims data and keeps improving. The carrier gets a platform that gets better over time — not one that depreciates.

80+ Insurers. 6M+ Claims. Production Proven.

Sutherland manages 6M+ claims annually across 80+ insurance clients globally — more live claims experience than any other AI-powered claims platform provider. 363 patents in AI and emerging technology. NPS 80+ across the insurance client portfolio. The claims outcomes we describe are not projections — they are delivered results.

Ready to Settle Claims Faster, Reduce Leakage, and Deliver CX That Retains?

Talk to our claims experts and find out how Sutherland Cognilink Claims can transform your claims operation — with AI that runs in production today, not in a pilot tomorrow.

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We look forward to talking soon.