Digital Workers for Insurance
It's time for insurance
operations to finally get
ready for the AI era
Maisa’s Digital Workers help insurers streamline processes,
accelerate outcomes, and stay compliant, delivering trusted results across the entire policy lifecycle.
THE RISKS OF AGENTIC AI IN INSURANCE
Bringing AI into insurance comes with three previously unseen risks.
Hallucinations
Digital Workers manage high volume claims, policy updates, endorsements, inspections, and document review.
This reduces cycle times, improves accuracy, and supports faster and fairer settlements for homeowners and commercial clients.
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. This 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. For a large insurer running thousands of claims a day, that unpredictability makes the business case very hard to build.
Maisa. Built for trust in regulated industries.
FOUNDATION
A platform built for trust.
KPU as the operating layer above any LLM. Deterministic execution, full auditability, no hallucinations by design.
BLUEPRINT
Consultative discovery.
We identify the highest-value work with your business and design the Digital Worker that owns it, end to end.
WORKFORCE
Built and run with you.
White-glove implementation and ongoing partnership. One Digital Worker, one job, in production at scale.
Already in production – 129 Digital Workers deployed
Proven impact across the insurance lifecycle.
01 · INTAKE
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.
02 · UNDERWRITING
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.
03 · INVESTIGATION
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.
04 · ADJUDICATION
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.
05 · POLICY OPS
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.
06 · RESOLUTION
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.
Agentic AI in Insurance. Too Dangerous to Trust?
Understand what agentic AI must have to operate safely and compliantly in a highly regulated industry like insurance.
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Driving Practical Results:
A Closer Look at Digital Workers in Action
Insurance USE CASE
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.
Why insurance companies choose Maisa.
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.
Onboard your first Digital Worker today
Practical Agentic AI for the Insurance Industry
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