Use cases

AI use cases for your insurance processes.

33 typical starting points across claims, underwriting, contracts and actuarial – delivered or developed with insurers on the Insurance AI Workbench and Aestimo Capture. Each one can be the starting point for a pilot.

First claims handling

AI along the first steps of claims handling – from notification to the right handler.

AI damage analysis

Automated analysis of photos and statements at FNOL and inspection – returns damage type, extent and a first assessment.

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Coverage check

Checks automatically whether the reported loss is covered by the policy and flags borderline cases for manual review.

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Invoice and receipt check

Extracts, assesses and validates invoices and receipts against rules and bills of quantities.

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Fraud assessment

Checks statements and media for anomalies and points the claims handler to them.

  • Plausibility check of statements
  • Media forensics for photos and video
  • Alert to the claims handler when something looks off
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Classification & routing

Detects claim type and priority and routes the case to the right handler automatically.

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Requests for missing documents

Detects missing information, documents or photos in claims and applications, drafts the right request to the customer, intermediary or loss adjuster and tracks whether it arrives.

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Expert report review

Reviews external expert reports for plausibility and consistency with the documented damage.

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Automated property claim settlement

Extracts structured data from submitted documents – including handwritten PDFs, for example from property managers – matches it with policy and claims data and prepares or completes settlement based on business rules.

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Claim status self-service

Gives policyholders their claim status and outstanding documents – straight from the case data and with approved answers only.

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Claim summary

Images, video, documents and spoken statements become one structured case overview.

Claim summary

Combines photos, videos, documents and spoken statements into a structured claim overview.

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Cost estimate & classification

Estimates the claim amount from the summary and classifies the case by complexity and priority.

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Recommended next steps

Derives concrete next steps from the summary.

  • Settle or bring in a loss adjuster
  • Ask the policyholder follow-up questions
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Calculation

From image analysis to the calculation line item.

Instruction-to-object match

Matches free-text instructions against the object and the bill of quantities.

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Underwriting & risk

From risk assessment to renewal.

Risk pricing

Derives a price from the risk assessment: risk classes and weather data, matching against the tariff, price estimate.

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Life risk pre-check

Assesses life insurance pre-applications automatically and prepares the risk assessment for underwriting.

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Building valuation

Determines building values from statements, photos and documents as the basis for sum insured and pricing.

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Formal offer validation

Checks offers and applications for completeness and rule compliance before underwriting or signature, and requests anything missing directly from the intermediary.

  • Tariff and underwriting rules followed
  • Mandatory documents and photos present and usable
  • Previous insurance, prior claims and outstanding premiums
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Underwriting assistant

Gathers and analyses everything the underwriter needs: underwriting rules, claims history and loss ratio, previous policies, payment history and – where required – industry database checks. The decision stays with the underwriter.

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Automated underwriting

Turns applications, photos and free text directly into a risk profile or questionnaire.

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Contracts & customer service

Route incoming mail correctly, answer policy questions and process changes directly in your CRM and core system.

Intelligent email triage

Classifies incoming email from shared mailboxes – from customers, intermediaries, repair shops, police or fire services – and routes it to the right department and line of business. No message is left sitting in the wrong mailbox.

  • Extracts policy and claim numbers, VIN and licence plate
  • Short summary, classification and next step for every email
  • Falls back to customer service when no specialist team fits
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Policy-specific answers

Prepares answers to questions about a specific policy – such as how terms apply or whether cancellation is permitted. Draws on the core system, CRM, policy terms and internal rules; the employee reviews and sends.

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Requests & contract changes

Processes customer requests and contract changes via API and writes them directly into your CRM and core system.

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Automated communication

Drafts settlement, approval and rejection letters as well as status updates based on case data and applicable rules.

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Actuarial

Evaluate portfolio and claims data – without manual data preparation.

Portfolio and claims analysis

Evaluates portfolio and claims data automatically and prepares it for actuarial work.

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Forecasts & reports

Produces forecasts and reports directly from the data – in batch, without manual preparation.

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Cross-functional

Building blocks shared across all departments.

Talk to your data

Answers questions about internal data with traceable queries – instead of building a new dashboard for every question.

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Knowledge management & Q&A

Makes internal guidelines and policy terms searchable for claims handlers – with answers that cite their source.

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Automatic form filling

Fills questionnaires or PDF templates in your systems from known information, for example PDF reports.

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From conversation to pilot

Start with one use case. Measure the impact. Then scale.

  1. Select a use case

    Agree on the process, starting point and desired outcome.

  2. Connect the workflow

    Align data, roles and handovers with business and IT.

  3. Measure the impact

    Compare follow-up questions, time to a workable case and handover quality.

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Bring one process. We’ll show you where Aestimo fits.

A specific use case is the best starting point.