Industries · In
AI for claims, policy servicing, and document intelligence.
Insurance operations are document-heavy and rule-bound. AI doesn't replace adjudicators or underwriters — it removes the manual extraction, classification, and routing that make cycle times long enough for the customer to remember them.
Where the leverage lives
You're losing time in predictable places.
Across the firms we map, the same friction points keep showing up. They're not strategic questions — they're operational ones, which is why AI moves the needle here.
- 01 Friction point
Claims cycle time
From first notice of loss to payment, most of the elapsed time is queue, not work.
- 02 Friction point
Document classification
Every claim arrives as a mix of PDFs, photos, and free text. The first thirty minutes is sorting.
- 03 Friction point
Adjudicator load
Senior adjudicators spend cognitive bandwidth on cases the rules already cover.
- 04 Friction point
Customer status visibility
Policyholders call because the system doesn't tell them where their claim is.
- 05 Friction point
Audit trail consistency
What was decided, why, and based on what — rarely captured in a way regulators or reinsurers can quickly verify.
The operational surface
Every workflow touches four surfaces.
We map your real lifecycle against these four. AI lands where the surfaces meet — the handoffs, the queues, the data movement.
First Notice of Loss
- Intake automation
- Coverage verification
- Document classification
- Adjudicator routing
Claim Adjudication
- Document extraction
- Rule-based pre-decisions
- Exception queue prioritisation
- Audit-trail generation
Policy Servicing
- Renewal prep
- Endorsement drafting
- Coverage Q&A
- Service-request routing
Underwriting Ops
- Application data prep
- Risk-document extraction
- Underwriter packets
- Bind-decision audit
How we think about it
Anything that touches a coverage decision, a payment, or a customer goes through a human. AI handles the prep, the extraction, and the routing — the steps that scale with volume but don't require judgment.
What we actually build
Production systems, not chatbots.
Each system is scoped to the workflow it replaces and the system it integrates with. Built in your environment, owned by you.
- 01
Claim Intake Automation
FNOL forms + phone intake → coverage verification → adjudicator queue with the documents pre-classified.
- 02
Document Extraction Pipeline
Reads claim documents, structures the data, populates the claims system. Flags anything ambiguous for human review.
- 03
Adjudicator Decision Support
Surfaces relevant policy clauses, similar claims, and decision precedents next to the adjudicator's working file.
- 04
Status Communication Engine
Drafts policyholder updates from claim state; queues for service-team approval; sends on a defined cadence.
- 05
Audit Trail Generator
Captures the decision, the documents that supported it, and the rules applied — in a format auditors and reinsurers can query.
Fits the stack you already run
No rip-and-replace.
We build on top of your existing tools. If yours isn't listed, it still probably has an API or an export — the Blueprint identifies the integration path before any code is written.
Claims Systems
- Guidewire
- Duck Creek
- Sapiens
- Origami Risk
- internal core
Document & Imaging
- Box
- Filebound
- OnBase
- SharePoint
- internal DMS
Communications
- Twilio
- Genesys
- Five9
- SendGrid
- policyholder portal
Workflow & Data
- Zapier
- Make
- n8n
- Power Automate
- internal ETL
Questions, answered
The questions we hear most on the first call.
Will AI make coverage decisions?
No. AI prepares the decision packet — extracted data, relevant clauses, precedent claims. A licensed adjudicator decides.
How does this work with our core claims system?
Most cores expose APIs. Where they don't, we work from extracts and write back through whatever integration channel exists. The Blueprint identifies this before the build.
What about regulator audits?
Every system we build emits a structured audit trail — what was decided, who decided it, what evidence supported the decision. Designed to be queryable, not just stored.
Same approach, different language
The shape rhymes across industries.
Get started
The first call is free. The first conversation matters.
You'll talk to Sam directly. We'll map the highest-leverage workflow in your business — no preamble, no slide deck.
Path A
Book a 30-minute discovery call
Pick a time that works. We'll use the 30 minutes to map the highest-leverage workflow in your business.
Path B
Send a message
Prefer async? Describe what you're working on and we'll respond within one business day.