Agentic AI · Insurance

AI agents for claims, underwriting and renewals

Agents that take first notice of loss, triage claims, prepare underwriting files and chase renewals. Adjusters and underwriters approve every decision.

Powered by XDQ AgentOSHuman approval on every stepIndia · US · UK · Gulf
The problem

Where insurance teams lose time

Claims intake is manual

Notices arrive by phone, email and WhatsApp with missing details, so adjusters chase basics before they can assess anything.

Adjusters buried in documents

Surveys, invoices, medical bills and photos need reading and cross-checking, leaving little time for complex claims.

Underwriting submissions arrive messy

Broker submissions come in mixed formats, and underwriters rekey data before they can price the risk.

Renewals slip through

Reminders depend on manual lists, so policies lapse and customers move to competitors without a conversation.

The agents

Agents built for insurance

Each agent does one job well, connects to the systems you already run, and stops for a person at the decisions that matter.

01

FNOL Intake Agent

Takes first notice of loss on WhatsApp, web or email, collects the required details and documents, and opens a complete claim record.

CONNECTS Claims system, WhatsApp Business, email, web forms
HUMAN GATE Claims handler confirms coverage before the claim is registered.
02

Claims Triage Agent

Scores each new claim for complexity and fraud indicators and routes it to the right adjuster or fast-track queue.

CONNECTS Guidewire, Duck Creek or in-house claims system, document store
HUMAN GATE Claims manager approves routing rules and reviews every flagged claim.
03

Claim Document Review Agent

Extracts data from surveys, invoices and bills, checks it against policy terms and drafts the assessment summary.

CONNECTS Claims system, document store, email
HUMAN GATE Adjuster approves the assessment and settlement amount.
04

Underwriting Prep Agent

Reads broker submissions, extracts risk data into a standard format and highlights gaps and unusual exposures.

CONNECTS Policy admin system, broker email, rating engine
HUMAN GATE Underwriter prices and accepts or declines the risk.
05

Renewal Agent

Tracks expiring policies, sends reminders, prepares renewal quotes and logs every customer response.

CONNECTS Policy admin system, CRM, WhatsApp, email
HUMAN GATE Account manager approves quote changes and retention offers.
06

Broker Query Agent

Answers broker and policyholder questions on policy status, documents and claim progress from live records.

CONNECTS Policy admin system, claims system, email, portal
HUMAN GATE Service lead reviews any reply involving coverage interpretation.
How a pilot runs

From first call to agents in production

1

Select one line of business and share recent claims or submissions.

2

We configure intake, rules and approval gates on XDQ AgentOS.

3

Adjusters or underwriters review every output during the pilot.

4

Measure against agreed KPIs and agree the rollout scope and price.

Integrations
GuidewireDuck CreekIn-house policy admin systemsClaims management systemsRating enginesBroker portalsHospital and garage networksDocument management systemsCRMWhatsApp BusinessEmailPayment systems
What we measure
  • Claims handled per adjuster per day
  • Time from FNOL to first contact
  • Claims settled on the fast track
  • Submission to quote turnaround
  • Renewal retention rate
Compliance

Agents are built to work within IRDAI requirements in India, state insurance rules in the US, FCA and GDPR in the UK and the rules of Gulf insurance authorities. Coverage and settlement decisions always stay with licensed staff.

Questions

AI agents for insurance: common questions

Can AI agents settle insurance claims?

Agents prepare settlements but do not approve them. A claims document review agent reads surveys, invoices and bills, checks them against the policy wording and drafts the assessment with the proposed amount. The adjuster reviews and approves it. For simple claims you can define a fast-track path, but a person still signs off according to your authority limits. Every step is recorded on XDQ AgentOS.

Which claims systems can you integrate with?

We integrate with Guidewire, Duck Creek and in-house claims and policy admin systems through APIs, database views or scheduled exports. Email inboxes, WhatsApp and broker portals are common intake points. Where a system has no API, the agent works from structured exports and posts results back as tasks or notes. Integration scope is confirmed during the pilot brief.

How do you control fraud and error risk?

Triage agents flag fraud indicators and inconsistencies but never reject a claim on their own. Each flag carries the evidence and the source document, so the investigator can verify it quickly. Approval gates, guardrails and role-based access on XDQ AgentOS ensure the agent works only within the authority you set, and the audit log shows exactly what it saw and recommended.

How long does an insurance agent pilot take?

Most insurance pilots run 2 to 6 weeks on one line of business, such as motor claims intake or SME underwriting submissions. A focused pilot typically sits in the USD 5,000 to 20,000 band, while connected claims and underwriting builds fall between USD 20,000 and 50,000. Larger multi-line programmes can reach USD 50,000 to 200,000. We quote a fixed price after reviewing sample files.

Other industries
HealthcareBanking and FintechLogistics and Supply ChainMaritime and ShippingReal EstateManufacturing
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