Business Automation and AI Agents in
Insurance

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Digital Workers automate hundreds of insurance processes

Insurance automation has moved from single software robots to workflows where AI agents, robots and handlers work on the same case. Claims move faster from first report to settlement.

Insurers that align strategy, data quality and technology already see sharper risk insight and a better customer experience.

Agent Workforce is a team of specialised AI agents. It reads unstructured data, checks coverage, flags possible fraud and prepares claims for settlement, with people deciding where judgment is needed. Learn more at agent-workforce.com.

Every claim starts complete, from the first call or message

Many insurers already run claims workflows with software robots and handlers on the same case. The part that often stays manual is the first minute. A customer makes a phone call or write to a chat, and a person takes the details. Digital Workforce with boost.ai now answers that first contact at any hour, in the customer's own language, and runs the work behind it.

The customer reports a loss in their own words, on any channel

Voice AI agents take the call and AI agents take the chat. Both read meaning rather than keywords, so dialect and half-finished sentences are still understood. The service reads back dates and reference numbers so the customer can confirm them.

Properly reported claim costs less at every later step

The service authenticates the customer, then opens the policy and claim systems and records the details. Document processing reads the photos and documents the customer sends. The case reaches the right handler with everything already in place. An incomplete report means a chase call, a second assessment and a customer who tells the story again.

Judgment stays where you want it

AI agents can take the steps that need judgment, such as checking a claim against the policy, under the same SLA and guardrails. Hard decisions, upset customers and anything where a small error is costly go to your handler, with the verified identity, the transcript and everything the service collected. You buy the completed request under one agreement and one SLA.

Claims close faster when the case arrives complete. That is decided at the first contact.

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Transforming Insurance with Automation

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RPA at If Insurance – People and robots working together

At If, one of the Nordics' leading insurance companies, understanding the needs of their employees and customers has been put to the center of Robotic Process Automation. Watch the company's story video and learn how RPA can help to improve both employees' work experience and customer service.

Heatmap for Insurance processes

high
Automation potential

High

medium
Automation potential

Medium

Customer service Risk & Compliance Insurance sales service Claims handling
Green card KYC Updating an e-invoice address Using AI to recognise damages (vehicle)
Company customers yearly info Real time analytics with RPA Online insurance to the legacy system Direct claim from a partner to the insurer
Travel insurance certificate AML Changes of the insurance object Enhancing after service processes
Enhancing after sales processes LOG data for audit trail Changes in payment terms Updating bank account information
Termination of an insurance Sanction screening Enhancing after sales processes CSAS feedback loop
Classifying customer messages by utilizing AI Authority inquiries CSAS feedback loop Redirecting claim to the right handling process (AI)

Process examples

risk-and-compliance

Risk and Compliance

Each task performed by a software robot can be monitored and recorded at every step, which provides an audit trail.

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This can help with regulatory compliance and support further process improvement. Digital Workforce helps build faster and less expensive processes instead of using personnel on authority inquiries, audit trails and compliance.

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Sales and Underwriting

The multiple tasks in sales and underwriting can benefit greatly from automation.

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Automating corporate customer annual reports; updating e-invoicing contact details; transferring insurance policies purchased online automatically to a legacy system; handling insurance termination notices; producing travel insurance; medical, or other certificates; and responding to inquiries or changing premium payment schedules can all benefit from  automation.

Digital Workforce helps insurance companies to respond faster to customer needs.

contact-center

Contact Center

When the volume of incoming emails and customer messaging is high, it is possible to secure a faster response time.

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This can be done by classifying customer emails and online message using Natural Language Processing and Machine Learning techniques in combination with Robotic Process Automation.

These methods speed up prioritisation of important and urgent inquiries for the team. Chatbots can be used to enhance customer experience, and strengthen customer relations. Digital Workforce can work with you to build customer satisfaction.

financial-administration

Financial Administration

Automation enables faster and more effective processes in financial administration.

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From the validation of master data, the preparation and posting of recurring journal entries, through ensuring the completeness and accuracy of interface transfers between subledgers and the GL, to preparation of supporting documentation for month-end journal entries - automation enables faster and more effective processes.

Opportunities exist within reconciliation and analysis of month end accounting and reports, including Real Time Analytics and document archiving. Other options include setting up supplier data, handling refunds, indirect and direct tax automation, revaluation of assets and debts based on group accounting policy. Digital Workforce supports innovation of processes in all these areas and more.

claims-handling

Claims

Opening or transferring an online claims application to a legacy system is frequently a target for automation.

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Automating the claims assessment process or related payments from healthcare and rehabilitation companies is also achievable. Artificial Intelligence technologies such as Image Recognition can have significant impact on claims assessment significantly increasing accuracy.

Digital Workforce targets claims handling as a core process in building a stronger and more efficient operation through Robotic Process Automation.