Submission intake and triage
extraction from broker submissions, application forms, and attachments; routing by line, complexity, and appetite.
Industry
AI for Insurance
Underwriting, claims, and servicing agents that accelerate cycle times while keeping every decision fair and auditable.
The problem
Insurance runs on documents. Submissions, claims files, medical reports, correspondence, and policy wordings arrive in every format, and skilled underwriters and adjusters spend a large share of their day extracting and re-keying information rather than exercising judgement. Cycle times suffer, and so does consistency: two adjusters can reach different conclusions on similar claims with no clear record of why.
Regulators and customers increasingly demand proof of fairness and rationale. Manual processes struggle to produce it. And AI that cannot show its reasoning, cannot be overridden, and cannot be audited simply moves the problem rather than solving it.
How Evolvable helps
The Evolvable Insurance Agent reads submissions and claims files, extracts and structures the information, summarises risk with grounded and cited reasoning, and drafts a decision — which a human then reviews, approves, amends, or rejects. Every recommendation and every override is captured in an immutable audit trail, so fairness and rationale are provable case by case.
Guardrails screen for biased or non-compliant outputs before they reach a decision-maker. The workflow builder lets you model the real process — intake, triage, referral thresholds, escalation to senior underwriters — with human checkpoints where regulation or policy requires them. Testing and validation lets you evaluate quality, safety, and cost across your own case library before an agent ever touches live work.
Deploy in your cloud, VPC, or fully air-gapped, and train private SLMs on your own claims and policy data so nothing sensitive leaves your environment.
Underwriting support
risk summaries with cited evidence, comparison against guidelines, and draft terms for human approval.
Claims processing
first notice of loss intake, document extraction, coverage checks, reserve suggestions, and drafted decisions with mandatory review.
Fraud and anomaly flags
surfacing inconsistencies across documents and claim history for investigator attention, never automated denial.
Policy servicing
grounded answers on coverage, endorsements, and renewals for customers and service teams across chat, email, and voice.
Broker and partner support
status updates, document requests, and quote follow-ups with CRM hygiene and controlled outreach.
Compliance evidence
audit-ready records of every decision, override, and data access for conduct reviews and regulatory examinations.
Internal functions
HR helpdesk, marketing content with claims guardrails, and IT support on the same governed platform.
Business units and roles covered
Business unit
Roles
Business unit
Underwriting
Roles
Underwriters, underwriting assistants, referral and technical underwriters
Business unit
Claims
Roles
Claims handlers, adjusters, claims managers, investigators
Business unit
Policy Servicing & Customer Care
Roles
Service representatives, contact centre teams, complaints handling
Business unit
Distribution & Broker Management
Roles
Broker relationship managers, sales support, partner operations
Business unit
Actuarial, Risk & Compliance
Roles
Compliance officers, risk managers, conduct and fairness reviewers, internal audit
Business unit
Reinsurance & MGA Operations
Roles
Portfolio managers, bordereaux and reporting teams
Business unit
Technology & Data
Roles
Platform, data, and security teams
Business unit
Human Resources & Marketing
Roles
HR shared services, content and brand teams, corporate communications
See Evolvable in your environment
Deployable cloud, VPC, or fully air-gapped.