Digital Workers for Insurance

Insurance, ready for the AI era.

Insurance, ready for the AI era.

Digital Workers help insurers move faster and stay compliant across the policy lifecycle.

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Insurance

Leading European Insurance Company’s FNOL Transformation

Maisa’s FNOL Digital Worker takes a claim from first contact to a fully structured, validated case file without a human touching it. Triage that used to take hours now happens before an adjuster opens their inbox.

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53%

FASTER CLAIMS PROCESSING

98%

STRAIGHT-THROUGH PROCESSING

58,000+

HOURS RETURNED ANNUALLY

Insurance operations in the AI era

Insurance

Leading European Insurance Company’s FNOL Transformation

Maisa’s FNOL Digital Worker takes a claim from first contact to a fully structured, validated case file without a human touching it. Triage that used to take hours now happens before an adjuster opens their inbox.

See use case

53%

FASTER CLAIMS PROCESSING

98%

STRAIGHT-THROUGH PROCESSING

58,000+

HOURS RETURNED ANNUALLY

Insurance operations in the AI era

Insurance

Leading European Insurance Company’s FNOL Transformation

Maisa’s FNOL Digital Worker takes a claim from first contact to a fully structured, validated case file without a human touching it. Triage that used to take hours now happens before an adjuster opens their inbox.

See use case

53%

FASTER CLAIMS PROCESSING

98%

STRAIGHT-THROUGH PROCESSING

58,000+

HOURS RETURNED ANNUALLY

Insurance operations in the AI era

THE RISKS OF AGENTIC AI IN INSURANCE

Bringing AI into insurance comes with 3 previously unseen risks

First Notice of Loss

Capture claims from every channel, classify documents, verify policy and coverage, and open the case in the CMS. Eliminates manual triage, freeing handlers for judgment work.

Capture claims from every channel, classify documents, verify policy and coverage, and open the case in the CMS. Eliminates manual triage, freeing handlers for judgment work.

No audit trail

When a decision is made with AI, there is no record of why. The inputs go in, the output comes out, and the reasoning in between is invisible inside a black box, which cannot work in a regulated industry like insurance.

When a decision is made with AI, there is no record of why. The inputs go in, the output comes out, and the reasoning in between is invisible inside a black box, which cannot work in a regulated industry like insurance.

Cost overruns

Most AI platforms charge by the token, which means the cost of running them is almost impossible to predict.

Most AI platforms charge by the token, which means the cost of running them is almost impossible to predict.

Proven impact across the insurance lifecycle.

First Notice of Loss

Capture claims from every channel, classify documents, verify policy and coverage, and open the case in the CMS.

Eliminates manual triage, freeing handlers for judgment work.

Digital Workers speed up planning by automating tasks such as document analysis, blueprint verification, model updates, compliance checks, and stakeholder reporting, reducing manual review cycles and ensuring faster alignment across engineering teams and contractors.

01 - INTAKE

Quote and bind

Pull policy data, run third-party reports, evaluate risk, and produce a structured decision with the reasoning attached.

Eliminates back and forth across systems, freeing underwriters for the risks that need a conversation.

Maisa supports site execution by automating inspection workflows, progress tracking, materials verification, safety monitoring, and subcontractor documentation, giving teams real-time visibility across the field.

02 - UNDERWRITING

Coverage and Assessment

Cross-reference police reports and third-party data, flag missing items, and surface fraud signals on every file.

Eliminates slow case-by-case review, freeing investigators to act on the signals that matter.

Organizations enhance efficiency by automating asset documentation, maintenance reviews, procurement workflows, and administrative operations, streamlining finance, HR, compliance, and IT functions so teams can focus on strategic programs.

03 · INVESTIGATION

Case Setup and Adjudication

Consolidate damage, liability, and settlement calculations into a complete case file, validated against policy terms.

Eliminates routing loops and re-review, freeing adjusters for the calls only they should make.

Digital Workers speed up planning by automating tasks such as document analysis, blueprint verification, model updates, compliance checks, and stakeholder reporting, reducing manual review cycles and ensuring faster alignment across engineering teams and contractors.

04 · ADJUDICATION

Policy Issuance and Endorsements

Issue policies, process endorsements, and apply changes across legacy systems with full audit trail.

Eliminates manual data entry, freeing policy teams from work that never needed them.

Maisa supports site execution by automating inspection workflows, progress tracking, materials verification, safety monitoring, and subcontractor documentation, giving teams real-time visibility across the field.

05 · POLICY OPS

Billing and Booking

Verify disbursement readiness, draft customer communications, and track recovery and subrogation inside the core platform.

Eliminates manual handoffs at close, freeing the team to handle more volume without growing headcount.

Organizations enhance efficiency by automating asset documentation, maintenance reviews, procurement workflows, and administrative operations, streamlining finance, HR, compliance, and IT functions so teams can focus on strategic programs.

06 · RESOLUTION

Driving Practical Results: A Closer Look at Digital Workers in Action

Driving Practical Results: A Closer Look at Digital Workers in Action

Banking & Financial Services

Auto-Loan Processing Automation
Auto-Loan Processing Automation

Banking & Financial Services

New Client Onboarding Automation
New Client Onboarding Automation

Banking & Financial Services

Equity Research Automation
Equity Research Automation

Banking & Financial Services

Trade Finance Process Automation
Trade Finance Process Automation

Banking & Financial Services

RFP Response Generation Automation
RFP Response Generation Automation

Banking & Financial Services

Subpoena Request Intake Automation
Subpoena Request Intake Automation

Why They Choose Maisa

The advantages that make Maisa the choice for regulated industries.

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Hallucination-resistant by design

Maisa's Knowledge Processing Unit sits on top of any large language model and turns predictions into deterministic, rule-based execution. Every output is consistent and safe for production use in a regulated environment.

Fully auditable with complete chain of work

Every decision is logged: data used, checks run, sources queried, reasoning applied. Audit trails are auto-generated and regulator-ready, with compliance built in for GDPR, the EU AI Act, US Banking, SEC, and HIPAA.

Predictable pricing

Maisa is priced like headcount, not like API calls. No surprise token bills, no usage spikes, no costs that scale with prompt length. The ROI on every Digital Worker is calculable before contracts are signed, with the business case built and validated before deployment.

LLM-agnostic and self-healing

Maisa runs on any large language model with no vendor lock-in and gets smarter as models improve. When something unexpected happens, the Digital Worker adapts and continues. No silent failures.