Claims is the most influential function in insurance with the highest material impact
Claims operations can't keep up with rising volume, shrinking talent, growing complexity, and tightening regulation.
Combined Ratio industry average is 98%. Entire business is impacted by claims operations quality, cost and efficiency.
Combined Ratio industry average is 98%. Entire business is impacted by claims operations quality, cost and efficiency.
approaching
retirement
The Team
Claims talent retiring over the next 5y and will create 500M hours workforce gap that is getting much harder to replace.
The Business
Leakage, fraud, and backlog drain margin one claim at a time making it the single biggest lever for the combined ratio.
NPS score
The Customer
The moment of truth. Claim experience is #1 driver of customer satisfaction. Best-in-class drive NPS above 60.
No team fixes this by working harder, and no traditional software fixes the whole process. The work itself has to change and that takes a new kind of solution, one that adapts to how claims teams operate.
One AI Agent handles the full lifecycle
From the moment a claim arrives to the moment it’s closed. The AI Agent does the thinking and the work.
28+ claim tasks to drive improvement on every stage of the lifecycle.
Stage 1: Claim Intake
The claim arrives. The AI Agent captures it, verifies it, collect missing information and prepares a complete file before a handler touches it.
Stage 2: Claim Processing
The claim is open. The AI Agent assesses damage, calculates reserves, checks for fraud and leakage, and present decision ready claim to a human.
Stage 3: Claim Closure
The claim is ready for settlement. The AI Agent handles payment, runs recoveries, checks compliance, and closes the file audit-ready.
Your team shifts from admin and manual heavy work to applying human judgment, expertise, and spending time on more important activities no technology can replace.
The difference
you’ll feel from Day 1
of handler time freed from manual work
improvement in claim cycle times
reduction in cost and overhead
more claims without adding headcount
customer satisfaction and retention improvement
Simplifai's AI Agent is a solution with proven results
Storebrand Insurance achieves 25x ROI with Agentic AI
Major Nordic financial group automates key insurance back-office processes, cutting inquiry response time by 95%.
1+ million claims automated every year
Van Ameyde, the European market leader in claims management, loss adjusting, and IT development for the insurance and risk management market, collaborates with Simplifai to revolutionize claims processing.
Proven by claims teams worldwide
Intake Time
Transactions in 9 different countries
Returned to The Team
Zero Backlog
Automation Since 2019
Claims Automated
In 2 months
Why claims leaders choose Simplifai
Deep Insurance Intelligence
Live in 4-8 weeks
You stay in control
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Get Started
in 3 simple steps
Discovery
We discuss your operational needs, define goals and agree on the plan.
Onboarding
We configure AI Agent to your operations and get you started in 4-8 weeks.
Go Live
AI Agent is running alongside your teams. We monitor, optimize and get you ready for next stage.
Ready to transform your claims operation?
