Insurance

AI agents that move claims along, help underwriters assess risk, and give each policyholder a straight answer, whatever time they call.

Claims processing
Risk assessment
Customer experience

What slows insurers down

From first notice of loss to the regulator's report, these are six we hear about often.

Claims processing delays

Manual claims handling adds days and cost, and it frustrates customers at the moment they need you most.

  • Automated claims assessment
  • Documents read and checked automatically
  • Instant claim status updates

Insurance fraud

Organized fraud costs the industry billions a year, and reading files by hand won't catch enough of it.

  • Fraud flagged automatically by AI
  • Pattern recognition analysis
  • Real time risk scoring

Underwriting complexity

Slow, complex risk assessment delays every new policy and leads to pricing that varies case by case.

  • Risk assessed automatically
  • Risk based pricing
  • Instant policy quotes

Customer service overload

Claims events and policy questions flood your phone lines and leave your service team stretched.

  • 24/7 AI customer support
  • Policy answers on demand
  • Claims status updates

Regulatory compliance

Every jurisdiction adds its own rules, and each one demands constant monitoring and reporting.

  • Automated compliance monitoring
  • Regulatory reporting automation
  • Policy compliance tracking

Legacy system integration

Aging core systems trap data in silos and hold back the experience your customers expect.

  • A modern layer over legacy systems
  • Data connected across systems
  • API first architecture

AI use cases for insurers, and how we build them on Blits.ai

Six use cases that insurers already run in production: what each one does, how we build it on the Blits.ai platform, and what it can be worth for an insurer of a given size.

First notice of loss agent

A first notice of loss agent is an AI agent that takes the first notice of loss from a policyholder by phone, chat or app. It identifies the policy, collects the facts of the incident and the evidence the claim type needs, opens the claim in the claims system, tells the customer what happens next, and hands complex, injured or vulnerable claimants to a human handler.

USD 315,000 to USD 2.5 million
Handler time avoided at first notice of loss, per year. Reference: A motor and home insurer that receives 300,000 claims a year.
How we build it on Blits.ai

On Blits.ai this is an AI agent on the voice channel (real time streaming speech recognition and synthesis over telephony, with DTMF input) and on web chat and WhatsApp, with the insurer's own app connected through the API channel. A flow holds the intake schema per claim type, using ask question, slot filling and receive attachment blocks for the facts, photos and documents. Custom functions call the policy system to match the policy and the claims system to open the claim and return the claim number.

Guardrails block statements about cover, PII masking with configurable patterns keeps identifiers such as policy numbers, contact and payment details out of model prompts and logs, and human handover escalates to a claims handler through automatic rules, with live takeover also on voice calls. Test suites run sets of multi turn intake conversations for every claim type on each change, monitors run scheduled checks against the agent, and analytics show interactions and satisfaction per bot. The platform is model agnostic. Run Blits.ai in our cloud in the EU, Qatar, Singapore, the UAE, the US or Australia, in your private cloud, or fully on premises to meet data residency requirements.

See the 7 public deployments

Claims triage and STP

Claims triage and straight through processing is AI that reads each new insurance claim and its documents and scores its complexity, cover questions, fraud and recovery signals. It sends each claim to the right handling path and handler, and settles simple, low risk claims end to end within set limits without a person touching them.

Built withAgentic AI
USD 1.3 million to USD 7.9 million
Claims handling expense avoided, per year. Reference: A personal lines insurer that settles 200,000 claims a year.
How we build it on Blits.ai

On Blits.ai this is an agentic workflow triggered through the API when a claim is opened. An AI agent reads the claim and its documents through the knowledge base document ingestion (PDF, images and Outlook email files), writes a summary with structured output, and calls custom functions that fetch cover and limits from the policy system, pull fraud and severity scores, and write the routing decision back to the claims system.

Human in the loop approval holds any payment above the configured threshold for a handler, and the tool execution policy limits which systems the agent may change. Every run has a full audit trail, test suites grade summaries and routing against labeled historical claims on each change, and monitors run scheduled checks against the agent and alert by email or webhook when an expectation fails. The platform is model agnostic. Run Blits.ai in our cloud in the EU, Qatar, Singapore, the UAE, the US or Australia, in your private cloud, or fully on premises to meet data residency requirements.

See the 11 public deployments

Claims fraud detection

Claims fraud detection is AI that scores every insurance claim for fraud from first notice of loss onwards, combining claim, policy, document, image and network data. It finds suspicious claims, organized rings and inflated losses, and sends each alert with its reasons to a claims handler or special investigations unit for review.

Built withAI Platform
USD 1 million to USD 6 million
Additional fraudulent payments avoided, per year. Reference: A property and casualty insurer paying USD 1 billion in claims a year.
How we build it on Blits.ai

Blits.ai is not a fraud scoring engine; insurers use their own models or a specialized vendor and connect them through custom functions. Blits.ai adds the investigation workflow around the score: an agentic workflow that, when an alert fires, gathers the claim file, documents and earlier claims through custom functions and SQL knowledge bases, and has an AI agent write a structured alert summary with the reasons and open questions for the investigator.

Human in the loop approval steps put holds, referrals and letters to the customer in front of a person before they happen, the audit trail records every step of each run, and a tool execution policy limits which functions the agent may call. Test suites check summaries against known cases. Run Blits.ai in our cloud in the EU, Qatar, Singapore, the UAE, the US or Australia, in your private cloud, or fully on premises where claims data must stay local.

See the 12 public deployments

Policy servicing agent

An insurance policy servicing agent is AI that answers policyholders' coverage questions from their own policy documents and completes routine policy changes and document requests across chat, messaging and phone. Examples include address and vehicle changes, adding a named driver or item, payment method updates, and certificates and proof of cover, and it hands anything complex or sensitive to a human with the context.

USD 500,000 to USD 4 million
Human handled servicing cost avoided, per year. Reference: A personal lines insurer with 1 million policyholders.
How we build it on Blits.ai

On Blits.ai this is an AI agent with a knowledge base of policy wordings and endorsements, searched with hybrid retrieval, plus custom functions that call the policy administration system's REST APIs to fetch the customer's own schedule and wording version and to make mid term changes. Regulated journeys, such as changing payment details, run as a flow with an authentication step, and payment links handle any premium due.

The same agent serves web chat, WhatsApp and voice, and the insurer's own mobile app through the REST or WebSocket API channel, with streaming speech on the phone and multi language support. Guardrails check inputs and outputs, PII masking and card number tokenization happen at the gateway, and human handover passes the summary to the contact center, including live takeover. Test suites replay real coverage questions on every wording release, analytics show interactions, satisfaction and top intents, and conversation logs show each handover in full.

See the 6 public deployments

Underwriting submission triage

AI that reads incoming broker submissions for commercial insurance so underwriters open a complete, prioritized file instead of an inbox. It reads emails, applications, schedules of values, loss runs and supplements, extracts the risk data into a structured record, checks clearance and appetite, and enriches and ranks the risk with internal and third party data.

USD 320,000 to USD 1.9 million
Underwriting intake capacity released, per year. Reference: A commercial insurer receiving 40,000 broker submissions a year.
How we build it on Blits.ai

On Blits.ai this runs as an agentic workflow, started through the REST API from the broker portal or mailbox integration, or from a flow on the inbound email channel with a trigger workflow block. The platform's document ingestion reads PDF, DOCX, XLSX and Outlook .msg files, and an agent with structured output extracts the fields into the insurer's schema. Custom functions call the clearance service, the appetite rules and approved data providers over REST, and a SQL knowledge base gives the agent read access to account and loss history.

Declines and referrals go through human in the loop approval above a configurable threshold, so an underwriter confirms before anything reaches the broker. PII masking at the gateway, with custom masking patterns per bot, masks identifiers such as email addresses, phone numbers and account or policy numbers before they reach a model. Every run has a full audit trail and trace, and test suites replay a labeled set of past submissions before each change goes live to track field accuracy. The platform is model agnostic, so extraction and ranking can use different models. Run Blits.ai in our cloud in the EU, Qatar, Singapore, the UAE, the US or Australia, in your private cloud, or fully on premises.

See the 9 public deployments

Conversational quote and buy

Conversational AI for insurance quote and buy is a customer facing agent that sells insurance directly in a conversation, asking rating questions and returning a price. It asks the rating questions in plain language, explains cover options, returns a price from the insurer's rating engine, handles objections and takes payment to bind the policy, with a licensed human available for advice and anything outside its limits.

USD 320,000 to USD 2.2 million
Additional gross written premium, per year. Reference: A direct personal lines insurer with 200,000 online quote journeys a year.
How we build it on Blits.ai

On Blits.ai the sales process is a flow for the regulated steps (demands and needs, disclosures, confirmation) with an AI agent block for the open conversation, and a knowledge base of product documents for coverage questions. Custom functions call the rating engine and policy system over REST, so the price always comes from the insurer's own rules, and payment links through Stripe, Mollie or Adyen take payment with card data tokenized at the payment provider.

The same sales process runs on web chat, WhatsApp and voice, and inside the insurer's own app through the API channel, with rich cards for options and product recommendations and multi language support. Output guardrails with admin authored policies catch price or cover statements the agent should not make, human handover routes advice requests to licensed staff, and test suites replay misselling scenarios on every change. Analytics and flow statistics show how each step performs, and human in the loop approval can be required for agent actions above a set threshold.

See the 3 public deployments

What matters when an insurer puts AI into claims and service

Insurance is regulated, and an AI agent speaks and acts for the insurer. These are the questions claims, underwriting, compliance and brand teams ask, and how Blits.ai answers them.

Regulators and AI rules

Supervisors expect AI to be governed like any other process: a risk classification under the EU AI Act, which treats risk assessment and pricing in life and health insurance as high risk, governance under Solvency II and operational resilience under DORA. Blits.ai keeps conversation logs and an audit trail of every step, so you can show what the AI did and why.

Answers from the policy wording

A wrong answer about cover can turn into a complaint or a claim dispute. The assistant answers only from your approved policy wordings and product documents, input and output guardrails block statements about cover it should not make, and when it is not sure it refuses and hands over instead of guessing.

Advice within the boundaries you set

An assistant can explain cover options, ask the demands and needs questions and give an instant, risk based quote on the pricing rules you set. Under the Insurance Distribution Directive a personal recommendation counts as advice, so your compliance team decides where the assistant may recommend and where licensed staff take over. Guardrails hold that line on every answer.

Claimants at a hard moment

People report a claim after a car accident, a flooded kitchen or a death in the family. The assistant speaks in your tone of voice and in the customer's language (for Arabic, including White Saudi, Bahraini, Egyptian, Jordanian and Libyan) on the phone, chat or WhatsApp, and hands injured, bereaved or vulnerable claimants to a handler with the full conversation attached.

Data that stays where it must

Claims files hold health records, payment details and third party data. Run Blits.ai in our cloud in the EU, Qatar, Singapore, the UAE, the US or Australia, in your private cloud, or fully on premises. PII masking at the gateway removes identifiers before a model sees them, and the platform is ISO 27001, ISO 42001, SOC 2 Type II and PCI DSS Level 1 certified.

You decide where people sign off

You decide which decisions the AI may take on its own, such as claims and risk assessments within your rules, and where a person signs off. Payments above a threshold you set, declines, fraud holds and referrals can wait for human approval in the workflow, and underwriters can confirm before anything reaches a broker. Test suites built from real claims and conversations run before every change goes live.

What insurers achieve with AI

Across 114 public AI deployments at 102 insurers in 30 countries, these are the results insurers report.

95%

Accuracy

median across 8 public deployments

79.5%

Automation rate

median across 6 public deployments

50%

Cycle time reduction

median across 3 public deployments

Figures are reported by the organizations themselves or their technology vendors and checked in the Blits.ai AI Use Case Library, where each use case page lists the organizations and sources. Explore all 50 use cases in the AI Use Case Library.

Pick the insurance process you want fixed first

We run a demo on it with you, then take it into production in a matter of weeks.

Frequently asked questions

The numbers behind the shift

Market context, with sources. The opportunity is real, and so is the risk of getting it wrong.

3B+
client interactions handled by Bank of America's Erica assistant since 2018, now around 58 million a month
Source: Bank of America newsroom
10.8M
customer queries handled by NatWest's Cora assistant in 2023, up from 5 million in 2019
Source: NatWest Group
$200B to $340B
of value that generative AI could add to global banking every year
Source: McKinsey