Insurance

Lower combined ratio. Faster cycle times.

From submission to settlement, automate the long-tail of unstructured work — with the explainability state regulators and the NAIC Model Bulletin now demand.

↓ 65%
Submission triage time
↑ 40%
Straight-through FNOL
↓ 30%
Claims leakage on complex losses
↓ 3–5 pts
Combined ratio impact at scale
The reality today

Where current AI stacks break.

Combined-ratio pressure

Cat losses, social inflation and reinsurance costs are squeezing margins — every point of expense ratio matters.

Unstructured submission flood

ACORDs, schedules of value, loss runs and emails arrive faster than underwriters can read them.

Long-tail claims complexity

No two complex claims look alike — rule-based automation hits a hard ceiling at the loss types that actually drive leakage.

Fraud signals scattered

Patterns hide across SIU, claims, billing, telematics and external data — and surface too late.

Regulator scrutiny on AI

NAIC Model Bulletin, Colorado Reg 10-1-1, NYDFS — every state expects governance, testing and bias controls.

Carrier-broker friction

Status questions consume the underwriting capacity that should be pricing risk.

Reference agents

Ship in weeks, not years.

Pre-built, evaluated and governed. Bring them up on Synaptix Cloud or your on-prem appliance.

Submission Triage & Clearance Agent

Parses ACORDs, SOVs and brokers' attachments, scores appetite fit, runs clearance and routes to the right underwriter — in minutes, not days.

Underwriting Copilot

Surfaces exposure, prior losses and external data, drafts referrals and pre-fills quotes against the rating engine.

FNOL & First-Touch Agent

Multilingual intake across phone, web and embedded channels with coverage check, severity scoring and immediate next-step guidance.

Complex Claims Agent

Reads medicals, repair estimates, ISO ClaimSearch and adjuster notes; drafts reserves, reservation-of-rights letters and settlement ranges with reasoning.

SIU / Fraud Detection Agent

Clusters cross-channel signals, drafts referrals and runs investigations with chain-of-evidence audit.

Subrogation Recovery Agent

Identifies recoverable claims, drafts demand packages and tracks responses against statute clocks.

Customer Servicing & Retention

Policy questions, endorsements, billing and renewals with safe escalation and next-best-action for retention.

Broker Servicing Agent

Answers status, quote and certificate-of-insurance requests automatically — freeing underwriting capacity for new business.

Compliance

Built for regulated workloads

SOC 2 Type IINAIC Model Bulletin alignmentColorado Reg 10-1-1NYDFSGDPR / CCPAPer-state residencyAudit-grade traceability
Connectors

Native systems integration

GuidewireDuck CreekSapiensMajescoSalesforceServiceNowSnowflakeVeriskISO ClaimSearchLexisNexisMitchell / CCC
Resources

Resources for insurance teams

Ready to operationalize your agents?

Talk to our team about a pilot on Synaptix Cloud or on-prem.