Fair, explainable outcomes
Agents cite the policy wording and documents behind each recommendation, so a decline or partial settlement can be explained to the customer and reviewed later.
INSURANCE
Claims and underwriting depend on reading documents, checking cover and weighing evidence. Agents can do the gathering and first reading, so adjusters and underwriters spend their time on judgement.
Each workflow names the agents involved, the point where a person decides, and what a pilot would measure.
Today. First notice of loss arrives by email, form and phone; handlers re-key details, request documents and route claims by hand.
Human checkpoint. Adjusters own every coverage decision and settlement; agents prepare the file and explain their reading.
A pilot would measure: Time from first notice to first contact · Claims routed correctly first time · Missing-information requests per claim
Today. Underwriters read broker submissions, schedules and loss runs, then re-enter data before they can assess the risk.
Human checkpoint. Underwriters set terms and decide every quote; the agent's summary shows its sources line by line.
A pilot would measure: Time to first underwriter review · Submissions declined early against appetite · Extraction accuracy on sampled submissions
Today. Endorsements, certificates and customer questions queue behind more complex work.
Human checkpoint. Changes that affect cover or premium go to a person for approval before they are issued.
A pilot would measure: Turnaround for routine requests · Requests resolved without hand-off · Customer follow-ups per request
Agents cite the policy wording and documents behind each recommendation, so a decline or partial settlement can be explained to the customer and reviewed later.
Medical, financial and personal details are limited to the steps that need them and kept within your systems and retention rules.
Workflows connect to your policy and claims platforms through their APIs or agreed exports, scoped during discovery.
Updated daily by our research workflow. Papers are recent preprints; their claims are the authors’ and need evaluation.
No. Agents prepare the file, read the policy and recommend; adjusters make coverage and settlement decisions, and the record shows who decided.
Yes, multimodal models can read images and scans. Accuracy on your own documents is measured during the pilot rather than assumed.
Usually with one line of business and one step, such as claims intake for a single product, so the pilot is measurable within six to eight weeks.
Other industries: Banking & financial services · Healthcare · Retail & e-commerce · Logistics, supply chain & procurement · Any other field
A GOOD PLACE TO START
A conversation about your goals, constraints, and next step.