Agentic AI for insurance

The AI Agent Built for Your Claims Team

Automate routine tasks. Get decision-ready claims. Run claims end-to-end. One agent for faster, accurate and cost-efficient claim operations.

Nh1816 VerzekeringenVan Ameyde GroupStorebrandKnif Trygghet Forsikring
Nh1816 VerzekeringenVan Ameyde GroupStorebrandKnif Trygghet Forsikring
The Claims Leader's Dilemma

Claims is the most influential function in insurance with the highest material impact

Claims operations can't keep up with rising volume, shrinking talent, growing complexity, and tightening regulation.

70¢

Claims payouts

12¢

LAE

16¢

Ops & Admin

Margin

€0.00€1.00

Combined Ratio industry average is 98% entire business is impacted by claims operations quality, cost and efficiency.

50%
workforce approaching retirement

The Team

Experienced talent approaching retirement. Hiring claim professional takes 6–12 months while those who remain burn 30–40% of their effective time on admin work.

€5–20M
per combined ratio point

The Business

Leakage, fraud, and backlog drain margin one claim at a time making it the single biggest lever on the combined ratio.

35
average NPS score

The Customer

The moment of truth. Claim experience is #1 driver of customer satisfaction. Best-in-class drive NPS above 60.

No team fixes this by working harder, and no traditional software fixes the whole process. The work itself has to change and that takes a new kind of solution, one that adapts to how claims teams operate.

Simplifai's AI Agent for Claims

One AI Agent handles the full lifecycle

From the moment a claim arrives to the moment it's closed. The AI Agent does the thinking and the work.

30+ claim tasks to drive improvement on every stage of the lifecycle.

The claim arrives. The AI Agent captures it, verifies it, collect missing information and prepares a complete file before a handler touches it.

The AI Agent works the claim — assessing damage and liability, calculating reserves, detecting fraud and leakage, and recommending decisions for handler approval.

The AI Agent closes the claim — handling payment, running subrogation, quality checks, compliance audit, and archiving the completed file.

Capture the Loss (FNOL)

Capture first notice of loss with key incident details from the policyholder

Data Verification

Check Policy, Coverage & Large Loss

Verify policy validity, coverage scope, and identify large-loss exposure

Case Created

Register New Claim & Assign Handler

Create or update claim record in the system of record and route claim to right team member

Data Collection

Collect Missing Info

Request and gather additional documents or missing claim details

Data Extraction

Triage, Categorize, Classify & Extract Info

Assess severity, categorize claim type, and enrich with relevant metadata

11
Tasks

Capture FNOL
Policyholder communications
Verify coverage
Categorize & triage claim
Assign to handler or team
Identify large losses
Identify customer complaints

Goal

Complete claim file with all information

Agentic AI to superpower your Claims team

Your team shifts from admin and manual heavy work to applying human judgment, expertise, and spending time on more important activities no technology can replace.

Impact from AI Agent

The difference you'll feel from Day 1

30-50%

of handler time freed from manual work

60–80%

improvement in claim cycle times

30–40%

reduction in cost and overhead

2–3×

more claims without adding headcount

+20%

customer satisfaction and retention improvement

Case Studies

Simplifai's AI Agent is solutions with proven results

Storebrand

Storebrand Insurance achieves 25x ROI with Agentic AI

Major Nordic financial group automates key insurance back-office processes, cutting inquiry response time by 95%.

Results

95%

reduction in inquiry response time

130M

NOK in win-back value – from 0

250K

annual cases resolved autonomously

Read case study →
Stillwater

Stillwater Insurance cuts claims email handling time by 95%

Leading U.S. property and casualty insurer automates claims intake with Agentic AI, saving 70+ hours weekly.

Results

17K

monthly inquiries processed

>70

weekly manual hours saved

98%

of inquiries successfully handled

Read case study →
Van Ameyde

1+ million claims automated every year

Van Ameyde, the European market leader in claims management, loss adjusting, and IT development for the insurance and risk management industry.

Results

1M+

annual claims automated

6

languages implemented

24/7

availability and productivity

Read case study →
Customer Results

Proven by claims teams worldwide

Stillwater

24h → 2min

Intake Time

Claim Intake + UW Intake

Van Ameyde

Over 1M

Transactions in 9 different countries

Claim Intake

ERGO

30d → <1min

Revolutionary Claim Experience

Claim E2E

Acorn

2K hrs/mo

Returned to The Team

Claim Intake + Processing

Nh1816

80h/wk

Saved, Zero Backlog

Claim Intake

Claims Link

98%

Automation Since 2019

Claim E2E

Knif Trygghet

70%

Claims Automated

Claim Intake + Processing

Storebrand

25x ROI

In 2 months

Customer Service E2E
Testimonials
"I think that once you get started, you learn about the technology, and realize the potential. We had ambitious goals to start with, but the realized results are even better, with an expected ROI now above the initial 25x."

Aleksander Nyland,

Head of Customer and Process Optimization, Storebrand

0101

Why claims leaders choose Simplifai

Deep Insurance Intelligence

  • Every claim type and complexity.
  • Country-specific regulations.
  • Every claim makes the next better.

Live in 4–8 weeks

  • Designed around your operation.
  • No rip-and-replace.
  • Return in 6+ month.

You stay in control

  • Earned trust model.
  • Full audit trails.
  • Step in at any point.

Claims first. All functions tomorrow

  • One partner.
  • One platform.
  • Expand to underwriting, policy admin, customer service.

One discovery. Three stakeholders aligned

  • Business gets the ROI.
  • Technology gets the architecture.
  • Operations gets the new model.
  • We bring all three to the table so the decision moves forward, not sideways.

Powered by Simplifai Platform

ISO 27001ISO 42XXXSOC 2GDPRDORAEU AI ACT
Stillwater Insurance US

Claims Handlers Workspace

Claims Volume

1500

Claims

SLA & timeliness

38

Past Due SLA

Quality & risk

12

Fraud flags

Get Started in 3 simple steps

Step 1

Discovery

We discuss your operational needs, define goals and agree on the plan.

Step 2

Onboarding

We configure AI Agent to your operations and get you started in 4-8 weeks.

Step 3

Go Live

AI Agent is running alongside your teams. We monitor, optimize and get you ready for next stage.

First AI Agent live in 8 weeks

Ready to transform your claims operation?