Insurance

AI coworkers for modern insurance operations

Reduce claims processing time, improve customer satisfaction, and operate with confidence using AI coworkers that execute insurance workflows end to end while respecting policies, approvals, and regulatory constraints.

Insurance
50%
Reduction in average claims handling time
35%
Reduction in manual processing across claims and service workflows
25%
Increase in customer satisfaction scores for serviced claims

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Insurance teams manage high volumes of claims, service requests, and documents under strict regulatory requirements. Information is spread across core systems, document repositories, and communication tools, forcing adjusters and operations teams to rely on manual checks and coordination. This slows resolution, increases operational cost, and creates compliance risk.

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Lyra

Lyra

Customer Support Expert

A policyholder is asking for the status of claim #CL-88213 filed two weeks ago.

Claim #CL-88213 is in adjuster review, documents complete, estimated decision by Friday. Sent the status update with the adjuster’s direct contact for follow-up questions.

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Justa

Justa

Legal Advisor

Does the water damage claim on policy #PL-4471 fall under an exclusion?

Policy #PL-4471’s exclusion clause covers gradual leaks but not sudden pipe failure — this claim describes a burst pipe, so it’s not excluded. Flagged for adjuster review with the relevant clause highlighted.

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Cairo

Cairo

Data Analyst

Which claim type had the biggest increase in processing time this quarter?

Water damage claims are taking 34% longer on average, mostly stuck at the documentation-review step. Worth a process check before next quarter.

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Speed up claims resolution

Automatically collect claim details, check completeness, retrieve policy information, and route claims to the right adjuster so customers get answers faster without repeated follow-ups.

Claim #88213In progress
1Claim details collectedDone
2Completeness check passedDone
3Routed to the right adjusterNow

Reduce manual policy and coverage checks

Verify coverage conditions, exclusions, and eligibility automatically before actions are taken, reducing rework, errors, and unnecessary escalations.

Coverage verificationBefore action

Policy is active

Verified

Claim within coverage terms

Verified

No applicable exclusions

Verified

Handle customer requests without overload

Answer policy questions, claim status requests, and account changes using full customer and policy context across systems, while escalating only complex or sensitive cases.

Customer requestsLive
What does my policy cover?Auto-resolved
Status of claim #55210Auto-resolved
Dispute on claim denialEscalated + context

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Claims intake and triage

Klart AI classifies incoming claims, validates completeness, gathers supporting documents, and routes cases to the right workflow or reviewer.

Policy and coverage checks

AI coworkers verify coverage rules, exclusions, and eligibility before actions are taken or escalated, reducing manual review effort.

Customer service requests

Handle high volumes of policy inquiries, status requests, and changes by retrieving accurate customer and policy context.

Document-heavy workflows

Extract, summarize, and structure information from policies, claims, and correspondence to accelerate processing and reviews.

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SalesforceSharePointOutlookGoogle Drive

+ ServiceNow, document management systems, internal core insurance platforms

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No — it handles intake, completeness checks, and routine coverage verification so adjusters spend their time on judgment calls and complex claims, not paperwork.

It checks claims strictly against your actual policy documents and exclusion rules, cites what it used, and flags anything ambiguous for a human adjuster rather than deciding on its own.

Yes, for status updates and routine questions — anything involving a coverage decision or payout is routed to an adjuster with full context, not decided automatically.

Salesforce, ServiceNow, SharePoint, and Outlook natively, plus most document management systems and core insurance platforms through our broader integration library.

Yes. Klart AI is GDPR and CCPA compliant, enforces your existing access controls, and logs every query and action for audit — nothing it does is invisible to compliance review.

Most insurance teams are live within a couple of weeks — connecting core claims systems takes longer than a typical SaaS integration, but no migration of historical claims is required to start.

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