Connect Policy, Claims & Data Systems
Integrate your policy admin system, claims platform, CRM, and third-party data providers (MVR, CLUE, medical, property).
Use Cases
AI-powered solutions for modern insurance
Automated Claims Processing
Agents review claim documents, validate coverage, run fraud scoring, and route approvals — cutting first-notice-of-loss to payout from weeks to days.
Intelligent Underwriting
Agents pull third-party data (MVR, property, medical), score risk against your guidelines, and produce underwriting recommendations with full rationale.
Policy Issuance & Renewals
Quote, bind, and issue policies automatically for standard risks. Agents track expirations, generate personalized renewal offers, and handle endorsements without manual intervention.
Fraud Detection & SIU Triage
Pattern-matching agents flag suspicious claims in real time and assemble SIU-ready packets — reducing leakage while preserving legitimate claims experience.
Policyholder Service & Self-Service
AI agents answer coverage questions, process simple policy changes, and route complex requests to licensed staff with full context — 24/7 across every channel.
Agent & Broker Support
Give independent agents instant quote turnaround, submission status, and appetite guidance via chat — without waiting on underwriter queues.
Results
What carriers and MGAs measure
70%
faster claims processing
Straight-through handling for standard claims; adjusters focus on complex cases.
50%
underwriting turnaround reduction
Automated data gathering and risk scoring gets submissions bound faster.
3x
policyholder self-service rate
Most common service requests resolved without calling in.
100%
audit & compliance coverage
Every decision logged with full reasoning and data lineage.
Built for
Roles that gain the most leverage
Chief Claims Officer
Today
Cycle times are creeping up, leakage is rising, and adjuster burnout is feeding attrition.
With Arahi
Straight-through claims handling and faster triage — adjusters spend their day on complex cases, not data entry.
Head of Underwriting
Today
Submissions queue for days while underwriters chase documents, producing inconsistent decisions.
With Arahi
Agents gather data, score risk, and draft recommendations so underwriters decide faster and more consistently.
VP of Customer Experience
Today
Policyholders expect instant digital service, and your contact center can't deliver it at reasonable cost.
With Arahi
24/7 AI service across every channel with human hand-off for complex needs — NPS up, cost down.
Simple steps to automate your Insurance Operations
How it Works?
Encode Your Rules & Guidelines
Bring your underwriting guidelines, claims-handling procedures, and compliance requirements into the agent — in plain language.
Pilot With Human In The Loop
Run agents in advisory mode first — they draft, your team reviews. Graduate to autonomous for well-bounded, low-risk decisions.
04
Scale With Governance
Expand across LOBs and channels with audit trails, QA sampling, and compliance monitoring running continuously.
Smart Features
Smart Features
Specialized insurance agents
Dedicated agents for claims intake, underwriting, policy service, fraud triage, and producer support — trained on your LOBs.
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Fraud detection & risk scoring
Cross-claim and cross-application pattern matching with real-time alerts and SIU-ready evidence packets.
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Policy admin & claims integrations
Works with Guidewire, Duck Creek, Majesco, Socotra, Insurity, Applied, Vertafore, and your internal systems.
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Regulatory & state-filing aware
Agents respect state-specific regulations, NAIC model rules, and internal compliance controls — with complete audit trails.
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Policyholder self-service portal
AI-powered portal lets insureds file claims, check status, update policies, and pay premiums 24/7.
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Audit trail & explainability
Every agent decision includes the data it saw, the rule it applied, and the reasoning — defensible to auditors and regulators.
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Workflows
End-to-end insurance workflows in production
Auto claim FNOL → settlement recommendation
Trigger
A policyholder files a first notice of loss via app, web, or call center.
What the agent does
- 1
Agent conducts guided intake, capturing facts, photos, and documents.
- 2
Pulls policy coverage and exclusions, runs MVR and historical claims checks.
- 3
Runs fraud indicators; escalates to SIU with evidence packet if triggered.
- 4
Drafts a settlement recommendation for adjuster review, or authorizes straight-through payment if within limits.
Outcome
Standard claims settle in days instead of weeks, leakage drops, and adjusters spend time on complex cases only.
Commercial submission → bind decision
Trigger
A broker submits a commercial application through your portal or email.
What the agent does
- 1
Agent extracts the application, pulls property/financial data, orders required reports.
- 2
Scores risk against your underwriting guidelines and appetite.
- 3
Drafts a quote with rationale and flagged risk factors for underwriter review.
- 4
Issues the policy or routes to underwriter with pre-packaged context.
Outcome
Submission-to-bind time drops dramatically; brokers route more business your way because your turnaround wins.
Modernize your insurance operations today!
Process claims faster, underwrite smarter, and deliver superior policyholder experiences — with audit-grade controls.
Arahi AI connects to 1,500+ apps including CRMs, marketing tools, support platforms, and more — so your insurance solutions workflows plug into the tools your team already uses.
FAQ
Frequently asked questions
AI agents automate the entire claims lifecycle — from first notice of loss through settlement. They extract data from claim documents, cross-reference policy terms, detect potential fraud patterns, and route complex cases to adjusters. This reduces processing time by up to 70% while improving accuracy and policyholder satisfaction.
No coding is required. Arahi AI provides a visual workflow builder designed for insurance professionals. You can configure claims routing rules, underwriting criteria, policy lifecycle triggers, and compliance checks using a drag-and-drop interface — no IT team needed.
Most insurers have their first automated workflow live within a week. Start with a high-volume process like claims intake or policy renewals, then expand to underwriting and customer service. Arahi AI integrates with major insurance platforms and policy management systems out of the box.
Arahi AI is designed for regulated environments. It is SOC 2-aligned and HIPAA-compliant for health-related workflows, enforces state-specific rules in underwriting and claims, and maintains full audit trails for every agent decision. PHI and PII are never used to train public models.
Yes. Every agent decision includes the data it saw, the guideline it applied, and the reasoning behind the outcome. This meets the explainability standards regulators increasingly expect for automated underwriting and claims decisions, and makes adverse-action letters easy to produce.
No — agents handle data collection, straight-through standard cases, and administrative overhead. Adjusters and underwriters focus on complex cases, judgment calls, and policyholder relationships. Most insurers using Arahi keep headcount stable and process significantly more volume at higher accuracy.
Guidewire, Duck Creek, Majesco, Socotra, Insurity, Applied Epic, Vertafore, EZLynx, AgencyBloc, and 1,500+ other tools. Third-party data sources (LexisNexis, Verisk, CARFAX, medical underwriting) are also supported.
Insurance Automations
What you can automate for Insurance
Explore specific automations for your insurance business
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