IndustriesInsurance

Engineering precision in every policy and claim

Core systems modernization, AI-powered underwriting, claims automation and fraud intelligence for insurance carriers and brokers at enterprise scale.

40+Insurance technology projects
65%Claims processing time reduction
40%Fraud loss reduction
99.9%Uptime on policy platforms
// OUR DIFFERENTIATOR

Insurance technology demands precision at every layer.

industry.approach
Real-time risk scoring
Telematics & IoT data integration
Alternative data underwriting
Dynamic pricing models

AI that reduces loss ratio, not just headcount

The AI opportunity in insurance is not automation for its own sake, it is more precise risk pricing, faster claims resolution and fraud detection at a scale no human team can match. Leading AI adopters report 3–5 percentage point improvements in loss ratio. (McKinsey (2025))

0ptsLoss ratio improvement with AI-driven underwriting
industry.approach
Document AI & FNOL automation
Computer vision damage assessment
Intelligent claims routing
Intake fraud scoring

Claims: speed and accuracy as competitive differentiators

The claims experience is the moment of truth for every policyholder. Straight-through processing already handles 60% of simple claims at leading insurers, with AI flagging only the complex ones for human review. (Accenture (2025))

0%Claims handled via straight-through processing
// WHAT WE DELIVER

End-to-end capabilities for the insurance value chain

From policy administration modernization to AI underwriting and claims.

Policy Administration Modernization

Decompose legacy PAS systems into modern, API-first architectures, without disrupting active portfolios or regulatory compliance.

  • PAS strangler-fig migration
  • Policy lifecycle API design
  • Legacy data migration & validation
  • Zero-downtime cutover strategy

AI Underwriting

ML models that score risk in real time using structured, unstructured and alternative data, improving accuracy while reducing manual review.

  • Real-time risk scoring (<200ms)
  • Alternative data ingestion (IoT, telematics)
  • Explainable AI for regulatory audit
  • Model drift monitoring & retraining

Claims Automation & Intelligence

End-to-end claims processing: FNOL intake, document AI, damage assessment, intelligent routing and settlement orchestration.

  • FNOL automation & triage
  • Computer vision damage assessment
  • Document AI (medical records, invoices)
  • Straight-through processing pipelines

Fraud Detection & Investigation

Graph-based fraud networks, anomaly detection and real-time scoring that flags suspicious claims and policies at intake, before payment.

  • Graph network fraud analysis
  • Claims anomaly detection
  • Real-time fraud scoring
  • Investigation workflow automation

Regulatory & Compliance Engineering

Automate SUSEP and LGPD compliance, build audit trails and embed regulatory controls into the policy and claims pipeline.

  • Automated SUSEP reporting
  • LGPD data governance architecture
  • Immutable audit logging
  • Solvency II capital data pipelines

Customer & Distribution Platforms

Digital distribution channels, broker portals and omnichannel self-service experiences that reduce acquisition cost and improve retention.

  • Digital quoting & issuance
  • Broker management platform
  • Claims self-service portal
  • Policyholder mobile experience
// CASE STUDIES

Results in production.

Insurance Holding

AI Claims Intelligence

Reduced claims processing time by 65% and fraud losses by 40% through automated triage and anomaly detection.

Claims AutomationFraud Detection
Life Insurer

AI Underwriting Platform

Real-time underwriting engine processing 50K+ daily quotes at <200ms latency, improving straight-through rate from 30% to 72%.

AI UnderwritingMLOps
Insurance Broker Network

Digital Distribution Platform

Omnichannel distribution platform for 2,000+ brokers, reducing policy issuance from 3 days to 4 hours.

Digital DistributionPlatform Engineering
Lumia AI

AI embedded in every step of the insurance lifecycle.

Lumia AI brings underwriting models, claims triage, fraud scoring and document AI to insurers, with full auditability and SUSEP compliance.

Explore Lumia AI

Módulos & capacidades

Real-time AI underwriting
Automated claims triage
Intake fraud scoring
Document AI (reports, invoices)
Intelligent policyholder service
Explainable AI for SUSEP
Production model monitoring
RAG on SUSEP regulation
Amplify

Pre-built modules for insurance distribution and operations.

Amplify provides modules for digital distribution, broker management, policy lifecycle and policyholder self-service.

Explore Amplify

Módulos & capacidades

Digital quoting & issuance
Broker management
Automated policy lifecycle
Policyholder self-service portal
Digital claims & tracking
Open Insurance APIs
Embedded SUSEP compliance
White-label by channel
// TECHNOLOGY STACK

Battle-tested tooling

Cloud
  • AWS
  • Azure
  • Kubernetes
  • Terraform
  • SRE
AI & Data
  • MLflow
  • Spark
  • Kafka
  • PyTorch
  • LangChain
Integration
  • Apigee
  • MuleSoft
  • Kong
  • REST
  • ACORD
Security
  • Vault
  • OPA
  • LGPD controls
  • SUSEP reporting
  • Audit logging

// FAQ

Frequently asked questions.

Three primary challenges: (1) legacy core systems, most insurers run policy administration platforms built in the 80s–90s; (2) data fragmentation, risk, claims and customer data in separate systems; (3) AI and actuarial talent gaps.

Loss ratio is claims paid divided by premiums earned, the primary underwriting profitability measure. AI improves it by identifying better risk signals: telematics for auto, IoT for property, behavioral signals for life, enabling more precise pricing.

STP means a claim is received, assessed, approved and paid without human review. It requires document AI, computer vision for damage assessment, fraud scoring at intake and automated payment orchestration.

SUSEP (Superintendência de Seguros Privados) regulates insurance, open pension and reinsurance in Brazil. It requires capital adequacy reporting, actuarial requirements, product registration and cybersecurity guidelines.

AI detects fraud through anomaly detection (claims that deviate from statistical norms), graph analysis (identifying connections between policyholders, workshops and health providers across multiple suspicious claims) and real-time intake scoring.

ACORD defines data standards for the insurance industry, standardized schemas for policy, claims and messages exchanged between insurers, brokers and reinsurers. ACORD-compliant systems integrate far more easily with each other.

Ready to modernize your insurance platform?

Talk to our insurance technology team about your core systems, AI and claims challenges.