Settle Simple Claims in Seconds with an AI Insurance Agent

For carriers, brokers, and InsurTechs, we build custom AI claims agents that automate the First Notice of Loss (FNOL), verify policy coverage instantly, and guide customers through the claims process 24/7.

Why the "Paperwork" Model is Broken?

The moment of truth for insurance is the claim. Yet, customers are forced to wait on hold or fill out 10-page PDFs during their most stressful moments. Relying on manual intake creates three critical blockers:

High Loss Adjustment Expense (LAE)

High Loss Adjustment Expense (LAE)

Human agents spend hours collecting basic data (Name, Policy #, Date of Loss). Our AI Agent handles the entire intake autonomously, reducing LAE by 30%.

Cycle Time Delays

Cycle Time Delays

Waiting 5 days just to confirm coverage drives customers away. Our AI checks the Policy Administration System instantly to confirm deductibles and limits in real-time.

Inconsistent Data

Inconsistent Data

Handwritten forms lead to errors. Our AI ensures every required field (photos, police report, time of loss) is collected the first time correctly, preventing "back-and-forth" delays.

Generative AI

Broken First Impression (FNOL)

Long forms and repeated questions frustrate customers at their most critical moment. We turn FNOL into a seamless, guided experience that captures complete data without friction.

Solutions for the Policy Lifecycle

Automated FNOL (First Notice of Loss)

Automated FNOL (First Notice of Loss)

No more call centers. The bot interviews the claimant: "Are you safe? Upload a photo of the damage." It extracts metadata (GPS location, Time) from the image to validate the event instantly.

Policy Plain English Expert

Policy "Plain English" Expert

Reduce support calls. Instead of reading a 50-page PDF, customers ask: "Does my policy cover hail damage?" The AI retrieves the specific clause and explains it in simple terms.

Underwriting Assistant

Underwriting Assistant

Faster quotes. The AI interviews applicants ("Do you smoke? Do you sky dive?") and cross-references external data sources to assess risk profiles and generate quotes in seconds.

How We Engineer Trust at Scale?

Step 1 Multi-Modal Ingestion

Step 1: Multi-Modal Ingestion

Claims aren't just text. Our agents process Images (Car Damage), Voice Notes (Witness Statements), and PDFs (Police Reports) simultaneously.

Step 2 Core System Sync

Step 2: Core System Sync

We integrate with Guidewire, Duck Creek, or Majesco. The AI doesn't just "chat"; it creates the actual Claim File inside your system of record via API.

Zero Ticket Fraud

Step 3: Fraud Detection Flags

While chatting, the AI runs background checks. Is the metadata of the photo older than the policy? Does the description match the visual damage? High-risk claims are flagged for SIU (Special Investigation Unit).

Step 4 Sentiment Analysis

Step 4: Sentiment Analysis

If a customer is distressed or angry about a denied claim, the AI detects the negative sentiment and seamlessly routes the call to a senior human adjuster with a full transcript.

Customer Story

Customer Story

Project's Summary

"Our FNOL process used to take 45 minutes on the phone. Folio3 built a WhatsApp-based claims bot that collects all evidence in under 5 minutes. Our customer satisfaction score (NPS) jumped 15 points." — Claims Director, Regional Auto Insurer Outcomes: 60% Faster Claims Settlement 40% Reduction in Call Volume 24/7 Intake Capability

Our Multi-Agent Frameworks

agentic tech stack
Folio3 AI leverages cutting-edge multi-agent frameworks, advanced foundational models, and robust memory architectures to build secure, scalable, and production-ready autonomous AI systems. Our expertise spans agent orchestration, intelligent tool integration, advanced RAG, and high-performance deployment.

Frequently asked questions

Yes. We use a SOC 2 Type II compliant architecture with end-to-end encryption. PII is redacted before processing, and data is never used to train public AI models.
We recommend "Straight-Through Processing" only for simple, low-value claims (e.g., windshield repair). Complex claims are prepared by the AI but approved by a human adjuster.
Yes. While Personal Auto/Home is common, we also build agents for Commercial Liability and Workers Comp that handle complex intake questionnaires.
Yes. We integrate with forensic AI tools that analyze image metadata and pixel patterns to detect if a "crash photo" was downloaded from Google or edited in Photoshop.

Ready to Modernize Claims?

Turn a moment of crisis into a moment of loyalty.

Talk to a AI Insurance Specialist
Ready to Modernize Claims
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Fill the form below or Contact us at +1 408 365-4638 / email us via contact@folio3.ai

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  • 22+ Years

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+1 408 365-4638
contact@folio3.ai

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6701 Koll Center Parkway, #250 Pleasanton, CA 94566