Aria: AI Claims Agent

Observe Insurance

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Caller Details

Verify Persona Confirm full name and date of birth
Phone First Name Last Name DOB Claim ID Status ZIP Docs Required Policy
Sample Conversations
Click any flow to expand the script.
1. Happy path: Maya Patel, approved claim
You are pretending to be Maya Patel. When Aria asks for your number, say: 408-555-0192

Aria:   "Could I get your phone number so I can pull up your account?"
You:    "408-555-0192."
Aria:   "Am I speaking with Maya Patel?"
You:    "Yes, that’s me."
Aria:   "Great news, Maya — your claim CLM 2847 has been approved and payment is on its way."
You:    "How long does that take?"
Aria:   "Claims resolve within 5 to 7 business days after approval."
2. Documentation required: Carlos Rivera
You are pretending to be Carlos Rivera. When Aria asks for your number, say: 312-555-0371

Aria:   "Could I get your phone number so I can pull up your account?"
You:    "312-555-0371."
Aria:   "Am I speaking with Carlos Rivera?"
You:    "Yes."
Aria:   "Carlos, your claim CLM 3105 is on hold pending documentation. We need a
         radiology report and a treating physician statement. You can upload at
         observeinsurance.com/portal or email support@observeinsurance.com."
3. Alternate phone: ZIP verification succeeds
You are pretending to be Maya Patel calling from a different phone.
When Aria asks for your number, give any made-up number (e.g. 555-000-0001).

Aria:   "I wasn’t able to find an account with that number — you may be calling
         from a different phone. Could I get your last name?"
You:    "Patel."
Aria:   "And the ZIP code on your policy?"
You:    "95110."
Aria:   "Got it, Maya — one moment."
         → claim status delivered normally
4. Alternate phone: ZIP fails, DOB succeeds
You are pretending to be Maya Patel on a different phone. Give a wrong ZIP.
When Aria asks for your number, give any made-up number (e.g. 555-000-0001).

Aria:   "Could I get your last name?"
You:    "Patel."
Aria:   "And the ZIP code on your policy?"
You:    "94101."   ← wrong ZIP on purpose
Aria:   "I wasn’t able to match that. Could I get your date of birth?"
You:    "September 14."   (or "09-14" or "September 14th 1987")
Aria:   "Got it, Maya — one moment."
         → claim status delivered normally
5. Alternate phone: all checks fail, transfer
Give any made-up number when asked. Then give wrong last name, wrong ZIP, wrong DOB.

Aria:   "Could I get your last name?"
You:    "Smith."   ← not in system
Aria:   "And the ZIP code on your policy?"
You:    "10001."   ← wrong
Aria:   "I wasn’t able to match that. Could I get your date of birth?"
You:    "January 1st, 1990."   ← wrong
Aria:   "I wasn’t able to verify the account. For your privacy, I can connect
         you with a specialist. Would you like me to transfer you now?"
You:    "Yes please."
         → call transferred to agent queue
6. Escalation: caller requests a representative
Can be triggered at any point in the call (before or after verification).

You:    "I want to speak to a real person." / "Can I talk to an agent?"
Aria:   "Of course — I’ll connect you with a specialist now. They’ll have my
         notes so you won’t need to repeat yourself."
         → call transferred immediately
7. Escalation: unsupported question (billing, complaints)
Say this at any point — no verification needed.

You:    "I want to dispute my premium. I’ve been overcharged."
Aria:   "I can help with claim status and documents. For billing and premium
         disputes, a specialist is best placed to assist — would you like me
         to connect you?"
You:    "Yes."
         → call transferred with reason logged
8. Auth failure: wrong name + wrong DOB
You are pretending to be someone else on Amara’s account.
When Aria asks for your number, say: 714-555-0884

Aria:   "Am I speaking with Amara Okonkwo?"
You:    "No, this is her husband."
Aria:   "Could I get the date of birth on the account?"
You:    "March 15th, 1979."   ← wrong DOB
Aria:   "I wasn’t able to verify the account. For your privacy, I can connect
         you with a specialist. Would you like me to transfer you?"