INDUSTRY · INSURANCE

What AI agents can do inside an insurance carrier

From competitive intelligence to claims review to assisted underwriting. Here is what a Fogoarai AI agent can do inside a carrier, running on your own systems where policyholder data never leaves the network.

Inside your own systems Policyholder data never leaves Every action recorded Built for CMF-regulated carriers
These are workflows an AI agent can run. The exact scope is defined with your team
WHAT AI AGENTS CAN DO

Three workflows, from quick win to company-wide

Start with one workflow that pays for itself, then expand on the same private, governed platform. No new vendor cycle each time.

01 · START · COMPETITIVE INTEL ● live today

Competitive intelligence on rival policies

Read competitor disclosures and filings, build side-by-side comparisons across coverage, pricing and terms, and flag gaps in your own portfolio for the analysts.

read filingsextract termscompareflag gapsbrief analyst
02 · EXPAND · CLAIMS

Claims triage and file review

Read the claim file (first notice, medical reports, quotes), extract the key data, check it against the policy, and flag inconsistencies or possible fraud for the adjuster.

read fileextract datacheck policyflag fraudroute to adjuster
03 · SCALE · UNDERWRITING

Assisted underwriting, end to end

Ingest the application, broker data, history and internal rules; prepare the underwriting recommendation with an audited justification; escalate anything non-standard to a human.

ingest applicationpull historyapply rulesdraft recommendationhuman sign-off
LIVE

The competitive-intelligence workflow above runs in production today inside a Chilean life-insurance carrier. The other two are illustrative of the same capability. The exact scope is defined with your team.

HOW FOGOARAI DOES IT

The same engine behind every workflow

In insurance, most of the value is locked in documents: policies, filings, claims files. That is why reading and synthesizing them is where an agent starts.

RAG · KNOWLEDGE · LEADS HERE

RAG · knowledge synthesis

Agents read your internal archive (documents, manuals, regulations, prior cases) and answer with citations to the source. Private embeddings, served locally inside your network.

DATABASES · NL→SQL

Database reads · NL→SQL

Ask your databases in plain language. A fine-tuned local model turns the question into validated SQL. No BI ticket, and no data leaves the network.

SMALL MODELS

Agents trained on small models

Small specialized models handle the repetitive work (classify, extract, validate, summarize) at a fraction of frontier cost, escalating to frontier models only when the task needs it.

GOVERNANCE

Governance and compliance

Every action is tied to a real user, gated by policy, approved where it matters, and recorded in an immutable audit trail your security and compliance teams can review.

See how the engine works in depth
GOVERNANCE

Built to pass your security review

Built around the controls a carrier’s risk, security and compliance teams expect. The traceability the CMF will ask for on every AI-assisted decision.

G.01Role-based access controlACTIVE
G.02Tool allowlists and action boundariesACTIVE
G.03Human-in-the-loop approval flowsACTIVE
G.04Full audit logs for model + tool callsACTIVE
G.05Structured output validationACTIVE
G.06Sensitive data redactionACTIVE
G.07Versioned prompts, models, policies, workflowsACTIVE
G.08Evaluation gates before production deploymentACTIVE
G.09Continuous monitoring after deploymentACTIVE
See the full governance model
GET STARTED

Put an AI agent to work in your carrier

Pick one workflow: competitive intelligence, claims, or underwriting. We scope it with your team, connect the systems, add the approvals and audit, and measure the result in the first 90 days.

Goes straight to the founder. No sales team
PILOT WORKFLOWone workflow · scoped together
DURATION90 days
DEPLOYMENTyour VPC or on-prem

DATAstays inside your network
APPROVALSyour people, your rules
SUCCESS METRICcost saved · quality held

STATUS● READY TO SCOPE