GetInsuredAI

Platform

Everything between a lead and a claim

Five capabilities share one data model, one event stream and one audit trail.

Why Insurance AI

Intelligent analysis. Controlled decisions. Complete traceability.

Most AI in insurance is a black box that nobody can explain. Here the model never decides: it informs a rule chain you control, and every step is recorded.

  1. AI advises

    01

    Intelligent analysis

    Language models read medical reports, financial documents and fraud signals, and turn them into scored, explained evidence.

    Medical risk 38 / 100

  2. Rules decide

    02

    Controlled decisions

    A deterministic, versioned rule chain makes the call. It is configurable by your team and behaves identically every time.

    Fraud below 15%: pass

  3. Audit proves

    03

    Complete traceability

    Each input, rule and outcome is written to an immutable trail that can be replayed to explain any decision.

    Decision v12, replayable

Seven possible outcomes, each one reachable only through the rules

  • Auto Approve
  • Approve with Loading
  • Human Review
  • Request Additional Evidence
  • Fraud Investigation
  • Postpone
  • Decline

Lifecycle

Where each capability fits

  1. 01

    Lead

    Agent, portal or copilot adds the customer, family or employer.

  2. 02

    Quote

    Every eligible plan is priced instantly with deterministic math.

  3. 03

    Case & gates

    E-application, agent report, compliance, first premium, history, medical.

  4. 04

    Underwriting

    Parallel medical, financial and fraud scoring, then a rule-based verdict.

  5. 05

    Issuance

    Counter-offer, reinsurance, beneficiaries and documents gate issue.

  6. 06

    In force

    Free-look, premiums, endorsements and renewals on one state machine.

  7. 07

    Claims

    Triage, fraud checks, adjudication, payout and recovery.

Under the hood

One foundation under every capability

The same building blocks serve the portal, the agent app and the copilot.

  • Multi-tenant and role-aware

    Each insurer runs in an isolated tenant with its own plans, rules and users, behind JWT authentication.

  • One policy state machine

    Every status change runs through the same state machine and leaves an immutable event behind.

  • Three LLM providers

    Gemini, OpenAI and Anthropic, with a primary and a fallback chosen at runtime. Credentials are encrypted at rest.

  • Fraud graph

    Relationships between customers, policies and claims are analysed as a graph, so a single application is never judged in isolation.

  • Built for Pakistan

    CNIC handling, PKR pricing, takaful as a distinct product type, and PEP and sanctions screening.

  • A copilot with confirmation gates

    Anything that changes data pauses for a yes or no, enforced in code rather than left to the prompt.

Built to be trusted

AI you can put in front of an auditor.

Insurance AI is a prototype built around the questions a regulated insurer asks first.

  • Decision traceability

    Every status change runs through one state machine and leaves an event behind, so any outcome can be traced back.

  • Human oversight

    Borderline cases go to a person. Human Review and Request Additional Evidence are first-class outcomes.

  • Explainability

    Scores come with reasons, and the rule that produced a verdict is recorded next to it.

  • Configurable rules

    Business rules are versioned data your team can change, not behaviour buried inside a prompt.

  • Enterprise workflow integration

    Multi-tenant and role-aware, with the portal, agent app and copilot working on one set of records.

See the full journey on demo data

We will walk you through a lead becoming a policy and a claim, with the copilot driving where it helps.