Insurance

From first notice of loss to recovery: processes with tracked steps and defined approval points.

Insurance volumes swing, documents are scattered and every decision must be explainable to the regulator. Aginies runs claims intake, renewals, underwriting document processing and subrogation on one orchestration layer; adjuster assignment and payment approval stay with people.

Why it does not reach production
01

Storm-day capacity

Loss notices pile up at the call centre; waiting erodes satisfaction.

02

Document chaos

Underwriting and claim files arrive in every format; missing documents stall the process.

03

Unexplainable decisions

The model produced an output with no rationale; indefensible to regulator and customer.

04

Missed recovery

Third-party liability stays buried in files; recovery opportunities are lost.

Scenarios

Agents you can watch live for this sector

InsuranceHITL

Voice claims intake (FNOL)

The customer calls and describes it; policy found by plate, cover checked, claim opened and adjuster assigned.

34,000 runs / month 95.8% success 5 agents
InsuranceHITL

Policy renewal offer

Policies re-priced, sharp increases go to approval; customer accepts with one tap and the policy is issued.

22,000 runs / month 94.4% success 4 agents
InsuranceHITL

Underwriting document extraction

Medical reports and labs read and assessed against the manual; underwriters only see files above threshold.

4,800 runs / month 94.9% success 4 agents
InsuranceHITL

Motor claim photo assessment

Damage detected from photos, estimate built from parts and labour, adjuster only approves; repair slot booked.

15,500 runs / month 93.3% success 4 agents
InsuranceHITL

Subrogation recovery

Closed claims scanned, the at-fault party's insurer identified, and the demand sent after counsel approval.

3,400 runs / month 95.5% success 4 agents
Compliance and sovereignty
  • Privacy-compliant processing with sensitive data masking
  • Mandatory human approval on payment and rejection decisions
  • A reasoned, timestamped trail for every claim decision
  • On-premise or in-country dedicated region options
Security →
Related solutions
Invoice & document extractionOCR → validation → ERP: clean records without manual entry.Voice AI for claims intakeA voice agent takes the loss notice and opens the claim in the system.Call-centre quality monitoring100% of conversations scored against objective criteria; sampling ends.

Time to move from experimenting with AI to transforming with it.

In a 30-minute discovery session we take your 2–3 priority business problems, show a live demo of a similar scenario, and draft a roadmap that starts with the Value layer.

Book a 30-minute discovery session → dahi@aginies.com
  1. Your 2–3 priority problems
  2. Live demo of a similar scenario
  3. Roadmap starting with value analysis