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Aktionable AIAktionable AI
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INSURANCE

Claims that arrive complete, priced, and prioritised

Claims rarely stall on the decision. They stall waiting for a document. The Aktion Agent collects, validates, and prioritises before an adjuster opens the file, on one engine that already meets the rules in the US, the Gulf, and India.

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SEE IT WORK

The Aktion Agent, mid-assessment

Risk factors get extracted from the submission, scored against the book, and explained. The underwriter sees the reasoning behind the number, then decides.

underwriting · submission UW-4471Sample data
61
RISK SCORE · MODERATE
Within appetite. Two factors flagged for underwriter judgement.
Contributing factors
Property age and constructionSUBMISSION+12
Flood zone exposureGEO DATA+18
Prior loss historyCLAIMS DB+21
Protective systems installedSURVEY-9
Sum insured vs book averagePORTFOLIO+4
Referred for underwriter judgement
Prior loss history sits outside the automated band. Decision and rationale get logged either way.
CAPABILITIES IN PLAY
Tap a capability to filter the list below.

Use cases

FNOL Aktion Agent
Collects accident details conversationally and initiates the claim.
Conversational AI
Claims Triage
Prioritises claims by complexity, urgency, and severity for adjuster allocation.
Predictive Analytics
Claims Fraud Detection
Assigns fraud risk scores from suspicious patterns and flags for investigation.
Anomaly Detection
Underwriting Aktion Agent
Assists underwriters with risk evaluation and explains the reasoning behind it.
ML + Explainable AI
Policy Recommendation Engine
Suggests suitable products against a stated need and risk profile.
Recommendation Engine
Renewal Aktion Agent
Recommends renewals and upgrades ahead of expiry.
AI Assistant
Document Verification
Validates policy documents and supporting evidence automatically.
OCR + NLP
Claims Status Aktion Agent
Provides real-time claim updates without an agent call.
Conversational AI
Regulatory Compliance Checker
Tracks regulatory change and checks adherence as rules shift.
RAG
Prior Authorization Aktion Agent
Reviews requests for authorisation against treatment guidelines before utilisation review.
Agentic AI

Applications

Policyholder
Quote & Buy
Guided quote, eKYC, and same-day issuance without a branch visit.
Policyholder
Claim Submission
Photo and document capture with validation before submission.
Policyholder
Policy Self-Service
Endorsements, address changes, and nominee updates handled directly.
Policyholder
Claims Tracking
Status, outstanding items, and predicted closure date in one place.
Policyholder
Renewal & Payments
Reminders, payment, and lapse prevention across channels.
Internal
Adjuster Workbench
Complete file, extracted values, and triage score on arrival.
Internal
Fraud Investigation Queue
Scored cases with the evidence trail that produced the score.
Internal
Compliance Monitoring
Regulator-ready log of automated decisions and their rationale.
Internal
Voice Analytics
Call quality, compliance, and sentiment across recorded and live calls.
ONE ENGINE, THREE MARKETS

Regional compliance is the product difference

The claims engine is shared. What changes per market is the regulator, the identity system, the language, and the product structures insurers are allowed to sell.

Bring us your slowest queue.

Intake, triage, or authorisation. We will show you the same flow running on your document set.

SAME PLATFORM, DIFFERENT SECTOR

Your problem may not be a claim

Ten other sectors run on the same foundation. Pick the one that owns your slowest process.

Public Services
Submission to permit issued
Healthcare
Encounter to signed note
BFSI
Application to pre-qualified
Retail
Search to cart
Manufacturing
Anomaly to work order
Engineering
Telemetry to scheduled fix
Legal
Draft to ready-to-send
Enterprise
Three products, one platform
Education
Submitted to reviewed
Energy & Utilities
Outage to restoration
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