Nagent AI
Industry Solution

Agentic AI for
Insurance

Autonomous agents that accelerate claims processing, automate underwriting decisions, detect fraud before it costs you, and deliver personalised policyholder experiences โ€” at scale, with full audit trails.

Why Nagent
โšก

Claims in Hours, Not Days

End-to-end FNOL to settlement automation reduces claim cycle time by 60%.

๐Ÿ”

Fraud Detection Before Settlement

AI agents cross-reference claim signals, network links, and historical patterns in seconds.

๐Ÿ“‹

Underwriting at Machine Speed

Risk scoring and policy decisions that used to take days complete in minutes.

Compliance-ready
IRDAIFCAGDPRSOC 2IFRS 17
๐Ÿ›ก๏ธInsurance-native AI
โš–๏ธIRDAI / FCA compliant
๐Ÿ”’SOC 2 certified
๐Ÿ“‹Full audit trails
โšกReal-time fraud scoring
The Shift

From AI Assistants to Autonomous Systems

Copilots assist. Agents execute. The difference is who does the work after the AI responds.

Before โ€” AI Copilots

โŒSurfaces insights, humans still execute
โŒOne-shot responses to prompts
โŒNo memory across interactions
โŒManual approval at every checkpoint
โŒStatic โ€” no improvement over time

After โ€” Autonomous Agents

โœ…Agents execute workflows end to end
โœ…Multi-step reasoning and tool use
โœ…Persistent memory via Agent Smriti
โœ…Human-in-the-loop only where required
โœ…KARMIC loop โ€” agents improve every run
Segments

Agentic AI Across Insurance

โค๏ธ Life Insurance

Term, whole life, ULIPs, and annuity products with long-tail liabilities and complex underwriting requirements.

Key challenges

Medical underwriting bottlenecks slowing policy issuance
Persistency monitoring across millions of policies
Renewal and upsell automation at scale

Agent use cases

Medical record analysis agent
Underwriting decision engine
Persistency monitoring agent
Renewal nudge automation
Surrender prevention agent
Annuity benefit calculator
By Department

Solutions Across
Departments

Every department has agents. Every agent has a defined input, execution, and outcome.

01๐Ÿ“‹ Claims Management

3 agent solutions

02โš–๏ธ Underwriting

3 agent solutions

03๐Ÿ” Fraud & Investigations

3 agent solutions

04๐Ÿ’ฌ Customer & Distribution

3 agent solutions

05๐Ÿ“Š Compliance & Reporting

3 agent solutions

06๐Ÿ“ˆ Actuarial & Analytics

3 agent solutions

๐Ÿ“‹

Claims Management

3 agent solutions

01 / 06

FNOL Triage Agent

Input

Claim notification (form, call, app, email)

Agent Output

Categorised claim, priority score, and assigned adjuster

Damage Assessment Agent

Input

Photos, repair estimates, policy details

Agent Output

Validated damage estimate with comparable benchmarks

Settlement Recommendation Agent

Input

Assessed damage, policy limits, deductibles

Agent Output

Settlement offer with policy basis and payment instruction

โš–๏ธ

Underwriting

3 agent solutions

02 / 06

Risk Scoring Agent

Input

Application data, bureau reports, medical records

Agent Output

Risk score with band classification and loading recommendation

Medical Underwriting Agent

Input

Medical history, lab reports, physician notes

Agent Output

Underwriting decision with evidence basis and exclusion list

Policy Pricing Agent

Input

Risk score, actuarial tables, market benchmarks

Agent Output

Premium recommendation with competitive positioning

๐Ÿ”

Fraud & Investigations

3 agent solutions

03 / 06

Fraud Detection Agent

Input

Claim data, network links, historical patterns

Agent Output

Fraud probability score + evidence flags for investigation

Network Analysis Agent

Input

Claimant, repairer, and medical provider data

Agent Output

Organised ring detection with link map and referral patterns

SIU Briefing Agent

Input

Flagged claim + historical data

Agent Output

Structured SIU brief with investigation priorities

๐Ÿ’ฌ

Customer & Distribution

3 agent solutions

04 / 06

Renewal Outreach Agent

Input

Expiring policy list, customer profile, competitive rates

Agent Output

Personalised renewal offer + channel-specific communication

Lapse Prevention Agent

Input

Premium due date, payment failure signal, tenure

Agent Output

Intervention message with reinstatement offer

Cross-sell Recommendation Agent

Input

Policy portfolio, life stage signals, propensity score

Agent Output

Product recommendation with personalised pitch brief

๐Ÿ“Š

Compliance & Reporting

3 agent solutions

05 / 06

Regulatory Filing Agent

Input

Financial data, regulatory templates, period end data

Agent Output

Completed regulatory return ready for submission

Conduct Risk Monitor

Input

Call recordings, email communications, complaint log

Agent Output

Conduct risk flags with recommended remediation actions

IFRS 17 Data Agent

Input

Policy data, claims, discount rates

Agent Output

IFRS 17 liability measurement data set and disclosures

๐Ÿ“ˆ

Actuarial & Analytics

3 agent solutions

06 / 06

Reserve Review Agent

Input

Claims triangle, development patterns, IBNR estimates

Agent Output

Reserve adequacy assessment with sensitivity analysis

Catastrophe Exposure Agent

Input

Portfolio data, geocoded properties, CAT model outputs

Agent Output

Zone-level exposure summary + probable maximum loss estimate

Profit & Loss Flash Agent

Input

Premium, claims, expenses, investment return

Agent Output

Real-time P&L by line of business with variance commentary

Live Agents

Agents You Can Try Right Now

Real agents. Real inputs. Real outputs.

๐Ÿ“‹

Claims Triage Agent

Processes FNOL notifications from any channel, categorises claim type, scores priority, and assigns to the right adjuster within minutes.

Takes as input

FNOL notification
Policy number
Incident description

Produces

Claim category & priority
Assigned adjuster
Initial reserve estimate
Request Demo โ†’
๐Ÿ”

Fraud Detection Agent

Cross-references claim signals, claimant history, repairer patterns, and network links to produce a fraud probability score before any payment is made.

Takes as input

Claim data
Claimant history
Network connections

Produces

Fraud probability score
Evidence flags
SIU referral decision
Request Demo โ†’
โš–๏ธ

Underwriting Decision Agent

Evaluates applications against underwriting guidelines, pulls bureau and medical data, and returns a risk decision in minutes rather than days.

Takes as input

Application data
Bureau and medical reports
Underwriting guidelines

Produces

Risk classification
Premium loading recommendation
Exclusion list
Request Demo โ†’
๐Ÿ’ฌ

Renewal Retention Agent

Identifies at-risk renewals, generates personalised retention offers, and triggers the right communication channel at the optimal time before lapse.

Takes as input

Expiry date
Customer profile
Competitive rate data

Produces

Retention risk score
Personalised offer
Communication sequence
Request Demo โ†’
๐Ÿ“Š

Regulatory Reporting Agent

Compiles and validates periodic regulatory returns from source data โ€” IRDAI, FCA, or jurisdiction-specific formats โ€” ready for submission.

Takes as input

Financial and claims data
Regulatory templates
Period dates

Produces

Completed regulatory return
Validation report
Submission-ready file
Request Demo โ†’
โš•๏ธ

Pre-Authorisation Agent

Processes cashless pre-authorisation requests from network hospitals, validates against policy terms, and issues approvals in under 30 minutes.

Takes as input

Hospital pre-auth request
Patient policy details
Treatment plan

Produces

Approval/denial decision
Approved amount
Conditions and exclusions
Request Demo โ†’
Resources

Research & Insights

No industry-specific posts found yet.

Browse all blog posts โ†’
Integrations

Works with Your Existing Stack

Nagent connects to the systems your bank already runs โ€” no rip-and-replace.

Core Insurance Systems

Majesco
Guidewire ClaimCenter
Duck Creek
FINEOS
Sapiens

Data & Investigation

LexisNexis
Verisk
CRIF
TransUnion
bureau APIs

Distribution & CRM

Salesforce Financial Services
Zoho Insurance
Microsoft Dynamics
Agency portals

Compliance & Reporting

IRDAI Filing Portal
FCA RegData
IFRS 17 tools
Actuarial systems

+ 800 more via Composio and REST API ยท Browse all integrations โ†’

Implementation

From Pilot to Production in 8 Weeks

A structured delivery process built around your compliance requirements and existing infrastructure.

01

Claims & Fraud Audit

Week 1โ€“2

Map your highest-volume claim types and fraud exposure. Identify the workflows where agent automation delivers the fastest ROI.

02

System Integration

Week 3โ€“5

Connect to your policy admin, claims, and fraud investigation systems. Configure underwriting rules and fraud scoring thresholds.

03

Supervised Claims Run

Week 6โ€“8

Agents handle FNOL and fraud scoring in parallel with human adjusters. Outputs are validated before autonomous settlement authority is granted.

04

Autonomous Operations

Month 3+

Straight-through processing for qualifying claims. KARMIC loop improves fraud detection accuracy each quarter from outcome feedback.

?AARI Score

Free Assessment

5 minutes

๐Ÿ“Š
AARI โ€” Agentic AI Readiness Index

Is your insurance organisation ready for Agentic AI?

Take a 5-minute assessment to benchmark your AI maturity across strategy, data, talent, and infrastructure. You'll receive a personalised readiness score and a prioritised action plan โ€” free.

Strategy & leadership alignment
Data & integration readiness
Talent & change capability
Governance & compliance posture
Measurable Outcomes

Business Impact

0%

Faster claims cycle

FNOL to settlement for qualifying claims

0%

Fraud leakage reduction

Pre-payment fraud scoring and network analysis

< 15min

Pre-auth turnaround

Health cashless pre-authorisation

0%

Underwriting cost reduction

Automated risk scoring and data gathering

โ€œOur FNOL-to-payment cycle dropped from 12 days to under 48 hours for straightforward motor claims. The fraud scoring agent alone saves us 3โ€“4% of claim payouts monthly.โ€

VN

Vikram Nair

Head of Claims

General Insurance Co. ยท Non-life ยท 2M+ active policies

Playbook

The Insurance AI Playbook

Claims automation: straight-through processing architecture
Fraud detection before settlement โ€” the ROI case
Underwriting transformation with AI risk scoring
Regulatory compliance in an AI-first claims operation
Building your insurance AI roadmap: where to start
๐Ÿ“˜

Get the Playbook โ€” Free

PDF download ยท No spam

โฌก HelixBriefExecutorOutputReviewAgent Studio
Build it yourself

Design your own agents โ€” no code required

Use Agent Studio to describe your workflow in plain English. Helix, your AI system designer, will define the agent architecture, select models, configure prompts, and wire tools โ€” ready to run immediately.

Design multi-agent systems from a plain-English brief
Simulate and evaluate before going live
Connect to your existing tools and data
Self-improving via KARMIC โ€” no retraining needed
PlanBuildTestRunLearnAgentic AI Lab
Partner with us

We design, build, and deploy the agents for you

The Agentic AI Lab is Nagent's hands-on delivery service. Our team works with yours to identify the highest-impact workflows, build production-ready agent systems, and deploy them inside your environment โ€” with full knowledge transfer.

Workshop to identify high-ROI banking workflows
Custom agents built and tested for your processes
Deployed within your cloud or on-premise environment
Ongoing optimisation and performance monitoring
FAQ

Common Questions

Ready to deploy Agentic AI in Insurance?

Talk to our solutions team. We'll map the right agents to your workflows and operating model.