For carriers, MGAs, brokers, agencies, and InsurTech

AI for insurance — FNOL, policy service, underwriting triage. 24/7. NAIC-aligned.

Claims intake is where loyalty is won or lost. Claire takes first notice of loss in 30 seconds, captures the facts that drive coverage, escalates the high-severity claims, and routes policy service so adjusters do adjusting. Built for NAIC AI Model Bulletin compliance.

  • FNOL intake in 30 seconds — fact-driven, line-aware
  • Policy service calls handled in-call (endorsements, cancellations, certs)
  • Underwriting triage on inbound submissions
  • Aligned to NAIC Model Bulletin on AI in Insurance
  • Insurance-system access evaluated for the required workflow
  • Language coverage is validated for each deployed workflow.
NAIC Model Bulletin Guidewire / Duck Creek 24/7 FNOL Governed workflow controls

See Claire on your insurance workflow.

30 minutes. Real FNOL, policy, or UW workflow. Real numbers.

We respond within one business day. No sales pressure.

Insurance AI fails on compliance, then on capability

NAIC and state DOIs are watching. Generic LLMs cannot pass insurance regulator review.

14 min
Avg FNOL hold time at top-30 carriers

14 minutes on hold is the worst moment of a customer's year. Claire picks up in 1 ring.

Service rep cost vs. AI on policy service calls

Endorsements, cancellations, certs — repetitive work. Claire handles handled according to configured permissions and human checkpoints.

6 days
Avg underwriting submission triage at mid-size MGAs

Submission delay is the #1 reason brokers route business elsewhere. Claire triages in minutes.

Insurance agent listening to a customer while a service colleague reviews the case

Let agents and adjusters handle judgment—not repeat the intake.

“A tree came down on the garage.” “I need proof of insurance today.” “Why did my premium change?” These requests may enter through the same phone number, but they require different records, questions, permissions, disclosures, and human owners. Claire can identify the intent, gather the required facts, retrieve permitted context, prepare or perform an authorized action, and hand consequential decisions to the appropriate licensed or accountable person.

First notice of loss

Collect policyholder and contact context, loss date and location, people or property involved, immediate safety needs, known damage, and supporting information without deciding coverage or liability.

Policy service

Distinguish certificates, billing questions, contact changes, vehicle or property changes, cancellation intent, and endorsement requests. Prepare the request and require approval where the carrier or agency process demands it.

Claim status

Retrieve only authorized status, communicate approved information, collect new documents or updates where supported, and route disputes, hardship, or unclear ownership to the adjuster or service team.

Human control

Keep coverage interpretation, underwriting, claim decisions, liability, settlement, complaints, and exceptions with qualified people. Provide them the conversation, facts, and actions already attempted.

Implementation begins by mapping lines of business, request types, identity checks, required notices, sources of truth, permitted actions, and licensed-person boundaries. Test ambiguous policies, duplicate customers, unavailable systems, distressed callers, potential fraud indicators, and failed transfers before increasing responsibility.

Measure whether the workflow identifies the correct policy or claim, captures required facts, follows approved notices and scripts, produces a usable handoff, and leaves every request with an accountable next owner. Do not measure success by conversation volume alone. Review incorrect matches, incomplete notices, approval delays, repeat contacts, and exceptions by line of business before expanding the workflow.

How Claire works in insurance

Line-aware. NAIC-aligned. Producer-respected.

1

Picks up + identifies

FNOL claimant, policyholder service request, broker submission, agent service. Routed by intent + line of business.

2

Captures facts + orchestrates

FNOL: fact pattern, parties, severity, coverage trigger. Policy: endorsement, cancellation, cert request. UW: submission triage.

3

Escalates with documentation

High-severity claims, coverage disputes, complex UW — escalated with full call summary and structured data.

What Claire handles in insurance

FNOL (claims intake)

Auto, property, GL, WC, professional. Fact-driven, line-aware, severity-scored. Routes high-severity to adjusters fast.

Policy service

Endorsements, cancellations, certificates of insurance, renewal questions, payment plans. handled according to configured permissions and human checkpoints.

Underwriting triage

Submission intake, risk pre-screening, missing-info follow-up. UW gets clean, prioritized submissions.

Producer support

Agent + broker questions on appetite, pricing, status. 24/7 — even when the underwriter is on vacation.

Renewal outreach

Proactive renewal calls. Rate change explanation. Cross-sell on appropriate accounts.

Multilingual claims

Spanish, Mandarin, Vietnamese, Tagalog. Critical for personal lines in most US markets.

Built for the NAIC AI Model Bulletin.

Governance, risk management, transparency. State DOI documentation. Adverse-decision controls.

NAIC Model Bulletin on AI
State DOI bulletins (NY, CA, CO)
Adverse decision human-in-loop
Governed workflow controls
PII minimum-necessary
Logging and retention configured

Frequently asked questions

Is this NAIC Model Bulletin compliant?
Yes. Claire ships with governance documentation, risk management framework, transparency disclosures, and adverse-decision human-in-loop. State DOI bulletins (NY, CA, CO, NJ) supported.
Does Claire decide claims?
No. Claire takes FNOL and captures facts. Coverage decisions and claim disposition stay with human adjusters. Claire never declines a claim or affirms coverage on its own.
What about adverse underwriting decisions?
Adverse decisions are human-in-loop by default. Claire surfaces information and supports the underwriter — but never declines coverage autonomously.
Does it integrate with our policy admin system?
Yes. Guidewire (PolicyCenter, ClaimCenter, BillingCenter), Duck Creek (Policy, Billing, Claims), Sapiens, BriteCore, Insurity. REST + ACORD for custom integrations.
Can it handle Spanish FNOL?
Natively. Plus Mandarin, Vietnamese, Tagalog, Russian. Tuned with insurance vocabulary per language.
What does it cost?
Per seat + claim/call volume tier. Pricing depends on lines of business covered, integration scope, and language coverage. Quote within 24h.

Define a visible completion state.

The workflow must always show whether the request was completed, awaiting information, pending approval, or transferred to a named owner.

Pick up the FNOL in 1 ring.

30-minute demo. Real claims, policy service, or UW workflow. Real numbers.