AI Use Cases in Insurance
This page presents a curated selection of real-world AI use cases in the insurance sector, spanning both classical machine learning, Generative AI as well as hybrid approaches. I will be updating this page regularly.
If you spot anything that needs correction - or if you have additional cases you'd like to see featured - please reach out to esben [at] enwai [dot] co. I'd love to hear from you.
CATIA: AI-Powered Claims Insight & Catastrophe Tagging Assistant
2024
Area: Claims (Commercial)
Type: Hybrid AI
This AI solution analyzes structured and unstructured data to predict claim severity, flag likely escalations, and streamline catastrophe claim tagging thereby accelerating first notice of loss and improve reinsurance accuracy. The pilot of the in-house "CATIA" tool uncovered 500 additional catastrophe claims across five events, saving $1.4 million while enabling faster crisis response.
Benefits
- Speeds up catastrophe claim identification and processing
- Improves accuracy and cost-efficiency in claims and reinsurance handling
Chatty: AI Customer Chatbot
2024
Area: Customer Service
Type: Generative AI
"Chatty" is a generative AI-based chatbot that helps customers navigate insurance policies, ask coverage questions, and initiate claims directly on the website. It tackles the problem of long call queues and limited digital self-service by delivering fast, multilingual support and reducing the need for phone-based assistance.
Benefits
- Significantly reduces phone waiting times and call overload by offering immediate, multilingual online assistance
- Automates routine queries and claim initiation, freeing up human agents for complex customer interactions
BRIAN: AI Assistant for Underwriters
2025
Area: Underwriting
Type: Generative AI
BRIAN is a generative AI assistant used by underwriters to quickly retrieve answers from complex underwriting manuals. It provides concise, source-based responses to user queries and includes direct links to the relevant sections in documents. Initially deployed for Property and Casualty lines, BRIAN helps streamline daily tasks, reduce manual search time, and support onboarding of junior underwriters. It is now scaling across business lines and is positioned for broader application across operations.
Benefits
- Speeds up underwriting by instantly retrieving answers from complex guidelines
- Frees up underwriters to focus on risk assessment and client relationships
TopGPT: AI Chatbot for Instant Insurance Q&A
2024
Area: Customer Service
Type: Generative AI
A generative AI-powered chatbot provides instant answers to customer insurance questions via digital channels. It replaces a rule-based chat solution and uses LLM-based models to understand queries, retrieve relevant information from product documents, and generate natural-language responses. The chatbot is available 24/7. Initially launched for general queries, it is being expanded to deliver personalized answers based on the customer's specific policy data.
Benefits
- Faster response time to customer inquiries
- Reduced workload on support staff
AI for Insurance Fraud Detection
2023
Area: Fraud Detection
Type: Machine Learning
An AI system that enables real-time detection of insurance fraud by combining machine learning with advanced analytics. It leverages a robust data platform and model deployment pipeline to analyze structured and unstructured data—such as audio, images, and claim metadata—flagging anomalies and monitoring model performance to continuously improve detection accuracy.
Benefits
- Enhances fraud detection by quickly identifying anomalous claims from multiple data sources
- Improves model reliability through real-time performance tracking and rapid error detection
Insurance Copilot: AI-Powered Claims Copilot
2024
Area: Claims
Type: Generative AI (combined with document and image analysis)
Streamlines data-heavy claims processes by summarizing case details, flagging inconsistencies, and drafting next steps to reduce workload and improve accuracy.
Benefits
- Accelerates claims processing by eliminating manual data review
- Reduces errors and overpayments through AI-driven anomaly detection
SecureGPT: AI Knowledge-Assistant for Employees
2024
Area: Internal Operations
Type: Generative AI
This solution addresses the need for a secure, enterprise-grade generative AI platform accessible by insurance employees. It enables staff to generate, summarize, translate, and draft text and code quickly—all within a safeguarded environment, avoiding data leakage and ensuring compliance with GDPR and internal policies
Benefits
- Optimises employee productivity
- Ensures data privacy and regulatory compliance
EbbotGPT: AI Customer Chatbot
2023
Area: Customer Service
Type: Generative AI
This generative AI chatbot enhances customer service by delivering 24/7 personalized, accurate answers to policy and coverage questions. It solves the limitations of scripted bots by generating unique responses based on company-specific data—reducing call volumes and wait times while preventing misinformation.
Benefits
- Dramatically increases self-service resolution rates from ~65% to ~85%, reducing phone wait times
- Provides safe, precise responses by drawing exclusively from company-specific data, minimizing risk of incorrect or off-brand information
REALYTIX: AI Co-Pilot for Underwriting Automation
2024
Area: Underwriting
Type: Generative AI
A generative AI assistant that optimised commercial underwriting by guiding users through product design, configuration, and pricing steps via natural-language prompts. It solves the complexity and inefficiency of traditional underwriting by streamlining the creation and adaptation of insurance products.
Benefits
- Enables insurers to launch or adjust complex insurance products in hours instead of weeks or months
- Reduces development costs and enhances consistency and accuracy by embedding underwriting expertise directly into the AI assistant
AI Customer Service Chatbot
2024
Area: Customer Service
Type: Generative AI
A generative AI platform integrated into Lemonade's customer experience operations. It automatically responds to customer emails and chat messages using large language models, resolving over 30% of incoming inquiries without any human intervention.
Benefits
- Automates email/text responses
- Handles ~30% of support queries
Felix: AI Assistant for Advisers
2024
Area: Customer Service
Type: Hybrid AI
An AI assistant listens to live calls between advisers and customers, identifying keywords and prompting advisers with relevant questions or coverage reminders—such as electric vehicle or e-scooter policies. The system aims to ensure that advisers mention suitable coverages and accurately gather information during conversations.
Benefits
- Ensures advisers cover relevant insurance products by prompting timely suggestions
- Speeds up access to product knowledge, reducing manual information searches
ClaimsGenAI: Generative AI for Document Triage and Recovery Detection
2025
Area: Claims – commercial
Type: Generative AI
ClaimsGenAI processes incoming corporate insurance claims—tens of thousands per year—by analyzing large volumes of structured and unstructured documents (e.g., loss reports, emails) to classify content, extract key information, and flag potential recovery or fraud opportunities. The tool includes a chatbot to support handlers with governance queries and workflows, keeping human experts in control of all decisions.
Benefits
- Flags additional recovery and fraud opportunities, yielding real financial savings
- Accelerates triage and document analysis, reducing manual review time
AI-Based Employee Skills Mapping and Training Recommendation
2023
Area: Human Resources
Type: Machine Learning
A machine learning and natural language processing system analyzes employees' existing skills and matches them with personalized training and career path suggestions. The aim is to support workforce upskilling and align talent development with business needs.
Benefits
- Identifies skills gaps and proposes relevant training for individual employees
- Supports long-term workforce planning and internal mobility
ML for Predicting Major Traffic Accident Risk
2023
Area: Underwriting
Type: Machine Learning
A deep learning model uses over 70 customer variables to assess the likelihood of major traffic accidents. The model helps underwriters make more accurate risk assessments and supports risk-adjusted pricing strategies in motor insurance.
Benefits
- Enhances accuracy of risk profiling for motor insurance
- Enables data-driven pricing based on predicted claim likelihoods
Insurance Copilot: AI Claims Copilot for Document and Workflow Support
2025
Area: Claims
Type: GenAI
The AI Claims Copilot ingests documents, images, invoices, contracts, and incident details to provide claims handlers with concise summaries, highlight inconsistencies, suggest next steps, and draft context-aware communications. It addresses the challenge of manual data triage and repetitive administrative tasks, enabling faster and more precise claims handling.
Benefits
- Speeds up claim processing by automating document review and reducing manual workload
- Reduces errors and unnecessary payouts with AI-highlighted discrepancies and data-driven insights
Climate-Aware Pricing Model for Insurance Risk
2024
Area: Pricing
Type: Machine Learning
An AI-driven pricing tool integrates structured and unstructured data—such as climate projections, customer risk profiles, and historical claims—to support advanced risk modeling. It specifically incorporates climate risk variables to improve pricing accuracy and align premiums with emerging environmental threats.
Benefits
- Over 1 million claims auto-settled; 5 million chatbot interactions
HDI-GPT: AI for Real-Time Data Extraction
2024
Area: General
Type: Generative AI
HDI Global has developed an internal generative AI system, HDI-GPT, designed to extract information from unstructured texts and images in real time. It addresses the challenge of manually interpreting large volumes of policy documents, claims descriptions, or legal texts by enabling employees to query and retrieve relevant insights quickly while keeping a human-in-the-loop oversight.
Benefits
- Cuts time spent searching unstructured documents by providing instant query-based extraction
- Standardizes insights across teams with human-in-the-loop validation to ensure compliance and accuracy
AI-Driven Claims Document Automation
2024
Area: Claims
Type: Generative AI
An AI-powered system processes claims documents by automatically digitizing and structuring unstructured content—such as PDFs, images, and text—to create AI-native claims workflows. It addresses the inefficiency of manual document handling and enables scalable, automated claims intake across different markets and business lines.
Benefits
- Eliminates manual document processing, speeding up claims intake
- Enables scalable deployment of automated workflows across markets and lines of business
AI-Based Document Intake & Triage
2024
Area: Underwriting
Type: Generative AI
An AI platform automates the intake of unstructured documents—such as PDFs, images, and emails—by extracting and structuring relevant data for downstream processing. It enables faster triage of submissions and claims, reduces manual data entry, improves fraud detection, and supports scalable deployment across business lines.
Benefits
- Cuts manual document processing time, enabling quicker decision-making
- Improves risk management and fraud detection through structured data insights
Generative AI for Personalized Marketing Content
2025
Area: Marketing
Type: Generative AI
A generative AI tool creates hundreds of tailored ad variations—such as audio scripts—based on historical campaign data. It then optimizes and deploys the most effective variants in real time to enhance engagement and campaign ROI.
Benefits
- Produces marketing content at scale with minimal manual effort
- Boosts campaign performance through data-driven content selection
AI for Claims Communication
2025
Area: Customer Service
Type: Generative AI
A generative AI system uses OpenAI's GPT to draft claims-related emails. It focuses on reducing insurance-specific jargon and adopts a more empathetic, customer-centered tone. The system addresses issues with human-written communications being unclear or accusatory and takes over initial writing while allowing human review.
Benefits
- Improves customer experience by reducing jargon and using a consistently empathetic tone
- Cuts drafting time for agents, as AI prepares most emails with human oversight
AI Copilot for Sales Insights in CRM
2025
Area: Sales
Type: Hybrid AI
An AI assistant embedded in Outlook and Teams that pulls real-time CRM data and sales insights into users' workflows. It solves the problem of data staleness and time wasted toggling between apps by enabling quick updates, contact linking, and relationship summaries directly within productivity tools.
Benefits
- Saves approximately 14,000 hours per year by reducing context switching and administrative tasks
- Keeps CRM records current by enabling updates and contact management directly from Outlook and Teams