AI for Insurance
Claims, Underwriting & Fraud Detection

AI claims automation uses LangGraph agents to handle the full claims workflow , intake, document extraction, fraud screening, policy matching, settlement calculation, and approval routing. The agent processes claim documents using NLP, cross-references policy terms, and routes straightforward claims for automatic settlement while flagging complex cases for human review.

Yes. We build fraud detection models using PyTorch that analyze claim patterns, claimant history, network relationships, and anomalous signals to score each claim for fraud risk. These models are trained on your historical claims data and improve over time. Fraud detection AI typically catches 2–3x more fraudulent claims than manual review.

A RAG chatbot for insurance connects an LLM to your policy documentation, coverage details, and FAQs. Customers get instant, accurate answers about their coverage, claims status, and procedures , grounded in their actual policy, not generic responses. Built with LangChain and Qdrant, it handles 70–80% of customer inquiries without agent involvement.

LangGraph agents orchestrate the full underwriting workflow , collecting applicant data, running risk assessments, checking compliance rules, calculating premiums, and generating policy documents. This reduces underwriting time from days to hours while maintaining accuracy and full audit trails for regulatory compliance.

Yes. We build NLP pipelines that extract structured data from claim forms, medical reports, police reports, and supporting documents automatically. Using Hugging Face models fine-tuned on insurance text, the system identifies relevant fields, validates data completeness, and flags inconsistencies , eliminating manual data entry.

Insurance AI systems must comply with state and federal insurance regulations, fair lending laws, and data privacy requirements. We build systems with explainability features , every AI decision includes a rationale traceable to input data , and audit logging for regulatory review. We work with your compliance team to ensure all systems meet applicable requirements.