The AI agent for claims examiners

Sauna reviews the claim against the policy and the adjuster's file, drafts the audit findings, builds the leakage report, and writes the referral memo so questionable or out-of-authority claims surface before payment goes out.

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What it does

What Sauna does for claims examiners

01
Audit the claim file
Sauna compares the adjuster's payments and reserves against policy limits and authority levels from the file in Zendesk, and drafts an exception list where coverage, documentation, or sign-off is missing.
02
Build the leakage report
It tabulates overpayments, missed subrogation, and duplicate billings into a leakage summary in Google Sheets, showing each finding with the claim number and dollar impact.
03
Draft referral memos
Sauna writes the SIU or recovery referral in Google Docs, citing the red-flag indicators in the file, and holds it for your review before it routes to the special-investigations queue.
04
Track quality findings
It logs each examination result and corrective action in Jira and drafts the feedback note to the handling adjuster so recurring errors get closed out.

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In context

Ask in chat. It does the work.

Sauna shows up where you already work — the web app, Slack, email, iMessage, and Superhuman. It reads what it needs, does the task, and comes back with the draft for your approval.

app.sauna.ai/sauna

You

@Sauna Audit claim file 77120 against the policy limits and the adjuster's authority, list every exception, and draft a subrogation referral if there's a recoverable third party.

Sauna

Reading Zendesk and Google Sheets.

Done — here's the draft and what I found. Approve to send.

Try it

Ask in plain words

The literal prompt for this job. Open it in Sauna and it picks up from there.

“Audit claim file 77120 against the policy limits and the adjuster's authority, list every exception, and draft a subrogation referral if there's a recoverable third party.”

Example promptRun in Sauna →

Plugs into the tools you already run — and thousands more, or any MCP server.

Zendesk Google Sheets Google Docs Jira

Good to know

Questions, answered.

Will it close or deny claims itself?

No. It flags exceptions and drafts referrals, but no claim is closed, denied, or referred until you review the findings and approve the action.

How does it decide something is leakage?

It checks payments and reserves against the policy terms, authority limits, and documentation actually in the file, and shows the basis for each finding so you can confirm before it counts toward the report.