Insurance needs visibility across systems

When claims, policy administration, billing and CRM platforms aren't in sync, adjusters and underwriters end up re-keying data and chasing documents and approvals instead of serving policyholders.
Disconnected systems

Policy, claims, and billing platforms that don't share data require teams to switch between screens to build a single view of each customer.

Slow workflows

Every first notice of loss (FNOL), submission, endorsement and referral that has to be rekeyed, emailed and chased adds cycle time, errors and cost.

Complicated compliance

Without the full picture on case status, SLAs and exceptions, regulatory deadlines are at risk and audit evidence is hard to produce.

Orchestrate insurance processes

Bizagi adds a coordinated process layer across your existing technologies. It connects systems, people, tasks and AI Agents into one governed flow, from quote to claim, for better visibility, governance and efficiency.

Apply AI where it matters
  • Use AI Agents to support FNOL intake, claims triage, underwriting referrals and complaints.
  • Extract and classify data from claim forms, reports, broker submissions, policy documents and emails.
  • Aid AI decisions using approved underwriting guidelines, claims procedures, policy wordings and past cases.
  • Flag possible fraud indicators for investigation and pass them to humans for the final decision.
Automate tasks
  • Route claims approvals, underwriting referrals, and payment authorizations to the right reviewers based on authority limits.
  • Sync policyholder, broker, policy and claims data across policy administration, claims, billing, and CRM systems.
  • Check documents for completeness, run eligibility and validation rules, and request missing information automatically.
  • Automate policyholder, broker and third-party communications, reminders, and status updates at every stage.
Orchestrate operations
  • Give one process view across policy administration, claims, billing, CRM, document management and legacy systems.
  • Assign work by role, line of business, authority level, workload, skills, region or licence.
  • Manage SLAs, escalations, approvals and audit trails for claims, underwriting, complaints and regulatory processes.
  • Give managers real-time visibility into claims backlogs, submission pipelines, reserves awaiting approval and exceptions.

Insurers seeing results

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SCOR digitized its UK claims assessment process from design to deployment in just six weeks, increasing efficiency across admin tasks by 80% within three months.

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BNP Paribas Cardif Japan automated validation, assessment and approval in its B2B claims process, saving 2 hours a day.

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Universal Group saw a 45% increase in revenue after connecting disparate systems in its car claims process.

Bizagi’s orchestration and automation capabilities have transformed our processes, reducing our risk profile and providing greater control. The main benefit is developing scalable processes, allowing us to allocate our people to other priorities rather than focusing solely on cost savings.”

Insurance customer

Insurance automation use cases

Accelerate claims

Connect FNOL, assessment and payments so claims move to settlement without manual chasing.

Simplify policy administration

Manage new business, renewals and cancellations across systems, with one trusted record of every change.

Improve customer onboarding

Validate identity, documents and eligibility, and provide customers with a consistent onboarding experience across channels.

Speed up underwriting

Gather submission data, apply appetite and referral rules, and route decisions to quote faster and more consistently.

Strengthen compliance

Bring peer reviews, complaints, controls and regulatory reporting into one governed, auditable workflow.

Improve customer service

Bring policy, claim and payment information together so service teams see full case context and resolve queries quickly.

Modernize without replacing existing systems

Bizagi connects with your policy administration, claims, billing, rating, CRM, cloud and mainframe applications. It adds an agile process layer around your core insurance platforms, so you can launch new products, respond to regulatory change and bring AI into operations without a costly core replacement.

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FAQs

Which insurance processes are best suited for automation?

Processes that are highly repetitive, rule-based, and data-driven are good candidates for automation. These could include:

  • Claims processing
  • Policy administration
  • Underwriting
  • Customer service
Can underwriting decisions be fully automated, or is human oversight still needed?

Automation can be used for routine cases but for more complex scenarios human judgement is still required.

How can automation help reduce fraud in insurance?

Automation tools can analyze large amounts of data and identify patterns that may indicate fraudulent activity.

How can automation improve customer service in insurance?

- Automated systems handle routine queries instantly, reducing wait times and improving customer satisfaction.

- Automatically gather, verify, and process data to speed up claim approvals.

- Automation analyzes customer data to offer personalized products that better fit customer needs.

 

How can automation help underwriters with risk assessment and quoting?

Automation quickly gathers and presents data from multiple sources to help underwriters make faster, more consistent decisions and generate accurate quotes without so much manual effort.

How do we ensure data security and privacy in automated workflows involving sensitive PII?

Encryption, role-based access controls, and adherence to key regulatory frameworks such as GDPR, CCPA, and HIPAA safeguard personally identifiable information (PII) throughout the automation lifecycle.

Can we use AI to automate fraud detection during claims processing?

Yes. AI-powered automation can identify patterns and anomalies that may indicate fraudulent activity, enabling earlier detection.

Ready to talk?

Want to learn more about our platform or need help using it? Get in touch.