Case Management Automation for Eligibility

Your AI agent handles application review, document preparation, and referral management—so you spend less time in Excel and Outlook, and more time making decisions.

As an eligibility specialist, you’re constantly switching between spreadsheets, emails, and shared drives to review applications and track referrals. Hours disappear copying data from DocuSign, drafting letters in Word, and updating case notes in your agency’s portal. The paperwork never ends, and critical details can slip through the cracks when you’re buried in admin tasks.

An AI agent that automates application review, document drafting, and referral management for eligibility specialists in public assistance agencies.

What this replaces

Extract applicant data from DocuSign PDFs into SharePoint records
Draft eligibility letters in Microsoft Word from scratch
Compile referral packets in Outlook for inter-agency transfer
Type detailed case notes into Salesforce after each action
Update assistance status in agency portal manually

The hidden cost

What this is really costing you

In public assistance agencies, eligibility specialists waste hours each week manually reviewing application PDFs, drafting compliance letters in Microsoft Word, and compiling referral packets using Outlook and shared folders. Pulling applicant details from DocuSign into case management systems is tedious and error-prone. This repetitive work drains time from actual decision-making and increases the risk of mistakes.

Time wasted

6 hrs/week

Every week, burned on work an AI agent handles in minutes.

Money lost

$14,000/year

In salary, missed revenue, and operational drag — annually.

If you keep ignoring it

Ignoring this means compliance violations, delayed approvals, frustrated staff, and audit failures when case files lack proper documentation.

Cost estimates derived from U.S. Bureau of Labor Statistics occupational wage data and O*NET task analysis.

Return on investment

The math speaks for itself

Today — without agent

6 hrs/week

of manual work

$14,000/year/ year

With your AI agent

1 hr/week

agent-handled

$2,300/year/ year

You save

$11,700/year

every year, reinvested into growing your business

Estimates based on U.S. Bureau of Labor Statistics median salary data and O*NET task importance ratings from worker surveys. Time savings assume 80% automation of eligible task components.

Jobs your agent handles

What this agent does for you

Complete jobs, handled end-to-end — so your team focuses on what matters.

Speed Up Application Decisions

You ask your agent to review a new application and summarize eligibility findings for your approval.

Modify Assistance Efficiently

You ask your agent to prepare the necessary documentation to adjust an applicant’s assistance level.

Terminate Assistance Cleanly

You ask your agent to draft a termination notice and update case records accordingly.

Refer Applicants Instantly

You ask your agent to organize and prepare all required information to refer an applicant to another agency.

How to hire your agent

1

Connect your tools

Link your client assessment, document management, and patient registration tools.

2

Tell your agent what you need

Example: 'Review this applicant’s file and draft a letter to modify their assistance amount.'

3

Agent gets it done

The agent reviews the file, prepares the letter, and provides a summary for your approval.

You doing it vs. your agent doing it

Manually read through each application and extract relevant data.
Agent summarizes key eligibility info for quick review.
30 min/case
Write letters from scratch and check for compliance.
Agent drafts compliant letters instantly for your review.
20 min/letter
Gather documents, fill forms, and organize data for other agencies.
Agent compiles and formats referral packages in seconds.
25 min/referral
Type up detailed notes after each action for audit trails.
Agent auto-generates clear, audit-ready notes.
15 min/case

Agent skill set

What this agent knows how to do

Application File Review

Pulls applicant data from DocuSign and generates eligibility summaries for supervisor approval.

Assistance Status Processing

Processes instructions to grant, modify, or terminate assistance and updates SharePoint case records.

Referral Packet Preparation

Compiles applicant information from Salesforce and formats referral documents for submission to other agencies.

Compliance Letter Drafting

Drafts eligibility, modification, and denial letters using your agency’s Microsoft Word templates.

Case Note Generation

Creates audit-ready notes in Salesforce documenting every action taken on a case.

AI Agent FAQ

Yes, the agent connects to SharePoint, Salesforce, and DocuSign via secure API. You control which files and records it can process, and all actions are logged for audit purposes.

No, your agent prepares summaries and drafts documents to support your review. You remain responsible for all final eligibility determinations.

All data is encrypted in transit using TLS 1.3. The agent processes files without storing them, and access is restricted to authorized users only.

Absolutely. The agent uses your Microsoft Word templates and adapts letters to your preferred style, ensuring compliance with state and federal guidelines.

Currently, the agent handles English-language documents. Support for Spanish and other languages is planned for future updates.

See how much your team could save with AI

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