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AI Agent for P&C Claims

One AI Agent.
The Full Claims Lifecycle

From intake to closure, configured to do exactly what your operation needs, with your people in the loop.

End-to-end
Human-supervised
No rip-and-replace
Live in weeks
Motor
Property
Travel
Bodily Injury
Marine
Pet
Specialty

Today, one handler carries hundreds of open cases across disconnected systems

The AI Agent
takes on that chain

damage evidence
38
fraud & risk
alerts
12
coverage &
policy docs
54
adjuster
approvals
26
claimant calls
31
integration
feeds
19
ai performance
alerts
7
claimant intake
142
E2E Claims Lifecycle

From Intake to Closure

AI Agent that can handle tasks across the entire

Stage 1

Intake

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

Stage 2

Processing

The claim is open. The agent assesses damage, calculates reserves, checks for fraud and leakage, and recommends a decision

Stage 3

Closure

The claim is decided. The agent handles payment, runs recoveries, checks compliance, and closes the file audit-ready

Simplifai’s AI Agent

Every claim is a chain of decisions

The AI Agent takes on that chain of 28+ tasks across 7 key milestones.

Capture & register
FNOL across all channels
Verify & triage
Coverage, urgency, routing
Assess & decide
Damage, liability, reserves
Detect fraud
Patterns, anomalies, flags
Communicate
Policyholders & providers
Settle & pay
Payment, subrogation, recovery
Close & audit
Quality, compliance, archive
Tasks

28+ Different Tasks

Capture
FNOL
Collect evidence & missing info
Verify
coverage
Categorize
& triage claim
Assign to
handler or team
Identify large
losses
Identify customer complaints
Register
& update claim
Create claim
summary
Policyholder communications
Assess
liabilities
Assess damage & repair cost
Calculate
reserve
Identify & pursue recourse
Generate handler action items
Run leakage checks
Identify
fraud
Make decision or recommendation
Service provider communications
Policyholder communications
Handle
payment
Run
subrogation
Run
recoveries
Archive
case file
Perform quality check
Perform compliance check
Close
the claim
Policyholder communications

You define how AI Agent works

AI Agent
for Automation

Automate Repetitive Tasks.
Streamline E2E Processes.
For efficient and quality work.

AI Agent
for People Enablement

Change how people do the work.
Deliver decision ready claims
For better and faster decisions.

AI Agent
to Handle the Work

E2E no Human Touch.
Expand Team Capacity, not replace it.
For cost-efficient business growth.
AI Agents is new Software Type

Purpose-built for insurance. Always evolving

500+ person-years invested

Do

Automation

Removes repetitive admin across intake, processing, and closure. Your team focuses on judgment and expertise.

Think

Intelligent Operations

Augments decisions. Coordinates next steps and communications. Orchestrates the claim forward within your rules.

Know

Claims Intelligence

Country-specific regulations. Fraud patterns. Policy terms. Claims knowledge built in from day one, so the agent starts from expertise.

Powered by Simplifai Platform

ISO 27001
SOC 2
GDPR
DORA
EU AI Act
Explore Platform →
Customer Case Studies

Results from live deployments

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 up to from 0
500K
annual cases resolved autonomously
Read case study →

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 →

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 market, collaborates with Simplifai to revolutionize claims processing.

results
1M+
annual claims automated
6
languages implemented
24/7
availability and productivity
Read case study →

4X Reduction in customer query response time

TATA Power, a prominent subsidiary of the esteemed TATA Group conglomerate, is a trailblazer in the Indian energy sector. To provide exceptional customer service and a healthy work environment, Tata Power identified the capabilities of the Simplifai AI Automation Platform and found it to be an exact fit.

results
4X
faster turnaround time
12.5M
customers served
7000
monthly email inquiries automated
Read case study →

Automating work equivalent to 20 full-time employees

India’s fastest-growing fintech unicorn, Pine Labs joins hands with Simplifai to enhance its operational excellence.

results
3X
faster email turnaround
160H
hours saved daily
100%
of incoming emails processed
Read case study →

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 up to from 0
500K
annual cases resolved autonomously
Read case study →
All Cases
first AI Agent live in 8 weeks

Your first AI Agent
Live in 4–8 weeks

We map 28+ tasks. You see the operating model. Then we deploy alongside your team.

Book A Discovery Call