P&C to reinsurance

Insurance

AI reads the submission, prices the risk, triages the claim and scores the fraud.

38AI use cases
10Tier-1 must-haves
9business functions

Insurance runs on other people's most sensitive facts. A submission is a broker's email with loss runs and schedules attached; a claim file is medical records, police reports, adjuster notes and the full correspondence history; a life application is prescription history and health records. None of that corpus is safe to paste into a model you do not control, and the rating plan built on top of it has to be explained to an examiner factor by factor.

Neor builds the whole stack on hardware you own, inside your own jurisdiction, on open components your engineers can read. Document intelligence over submissions and claim files, retrieval over your underwriting manuals and policy wordings, models trained on your own loss history, and the inference layer beneath every copilot all run inside that boundary. Who asked, which model version answered and which source it cited is recorded as a queryable trail, and the weights learned from your book stay in your registry rather than folding into a shared model. The 38 use cases below sit across 9 business functions; 10 of those use cases are Tier-1, and the platform underneath all of them is the same one, handed to your engineers to operate.

Why it has to be sovereign

What is at stake in this industry

The claim file is medical evidence

A bodily-injury, disability or workers' comp file holds medical records, medical bills, adjuster notes and legal correspondence. Processing it through an external endpoint moves the most sensitive personal data you hold outside your control.

Rating has to survive examination

A rating factor, a roof-condition score or an accelerated-underwriting decision can be challenged. Model lineage, training data and version history have to be produced from your own records rather than requested from a supplier.

Catastrophe is a capacity event

After an event, FNOL intake, satellite damage assessment and loss estimation all surge at once. That capacity has to come from accelerators you own and can prioritise, not from a queue you share.

The map

Where the use cases live

Every use case sits in a business function that already has an owner, a budget and a set of systems. Jump to any function below.

013 use cases

Distribution & Marketing

AI ranks which prospects are worth an agent's time, answers appetite questions at the point of sale, and writes the campaign.

025 use cases · 3 Tier-1

Underwriting & Risk Selection

Submissions are read, enriched and scored against appetite before an underwriter opens them; property risk comes from imagery rather than inspection.

033 use cases · 1 Tier-1

Pricing & Actuarial

Behaviour replaces proxy variables in rating, ML sharpens the risk model, and reserves are estimated claim by claim.

044 use cases · 1 Tier-1

Policy Administration, Service & Engagement

Routine servicing resolves itself, lapse risk is predicted before the cancellation, and every call is reviewed rather than sampled.

0511 use cases · 3 Tier-1

Claims

Every claim is scored at FNOL, damage is estimated from photographs, and the adjuster opens a summarised file, not a stack.

064 use cases · 1 Tier-1

Fraud & SIU

Claims are scored in real time, fraud rings surface as networks, and forged evidence is caught before payment.

072 use cases

Risk Engineering & Loss Prevention

Sensor data catches the leak or the failing machine before it becomes a loss, and survey recommendations get tracked to completion.

083 use cases

Reinsurance & Capital Management

Climate perils are modelled forward, parametric triggers pay on a threshold, and treaty wordings and bordereaux are read at portfolio scale.

093 use cases · 1 Tier-1

Compliance, Legal & Enterprise Knowledge

Unstructured documents become clean data, guidelines answer questions with citations, and complaints and model governance are monitored as evidence.

Start here

Three sensible first deployments

01

Document Intelligence (IDP) for Claims & Underwriting

Every other use case consumes its output. Broker submissions, loss runs and medical records become clean structured data before anything else is built.

02

Claims Triage & Severity Prediction

Mature technique, short time to value, and it sits on the largest source of leakage and cycle time in the book.

03

Policy Servicing Chatbots & Virtual Assistants

Low complexity, high volume, contained blast radius: routine billing, ID card and coverage queries, with complex cases handed to a person.

Tier 1 · Must-have

The must-haves, in full

Proven, prevalent and fast to return. Each one names the business problem, the AI solution and the value it drives.

02

Underwriting & Risk Selection

3 Tier-1
Tier 1 · CoreUC 06

Commercial Submission Intake & Triage

Business problem

  • Underwriters decline or ignore submissions they cannot process fast enough
  • The best risks bind with whoever quotes first

AI solution

  • LLMs ingest broker emails and attachments, extract and enrich risk data
  • Score against appetite and win-propensity; route prioritized, pre-populated cases

Business value

  • Revenue growth — quote more, faster, and the right risks
LLMsIDPPredictive MLRecommendation
Value driver Revenue GrowthAdoption GrowingComplexity MediumTime to value Medium
Tier 1 · CoreUC 07

Property Risk Intelligence from Aerial Imagery

Business problem

  • Roof condition, vegetation and wildfire/hail exposure unknown without a $50–150 inspection

AI solution

  • Computer vision on aerial, satellite and street imagery scores roof condition, defensible space and peril risk per property
  • At quote, renewal and portfolio review

Business value

  • Risk reduction — inspections replaced, deteriorated roofs caught pre-bind
  • Regulator-approved for rating
Computer visionGeospatial intelligencePredictive ML
Value driver Risk ReductionAdoption CommonComplexity MediumTime to value Short
Tier 1 · CoreUC 08

Underwriter GenAI Copilot

Business problem

  • Expertise is scarce and retiring
  • Underwriters spend 40–60% of time on synthesis, lookup and drafting

AI solution

  • GenAI summarizes risk files, answers guideline questions with citations (RAG over manuals)
  • Drafts referral memos and quote rationale; compares terms

Business value

  • Operational efficiency — 10–20% productivity gains expected
  • Expertise attrition mitigated
LLMsRAGKnowledge graphs
Value driver Operational EfficiencyAdoption GrowingComplexity MediumTime to value Medium
03

Pricing & Actuarial

1 Tier-1
Tier 1 · CoreUC 09

Telematics Usage-Based Insurance (UBI)

Business problem

  • Proxy rating variables misprice individual driving risk
  • No lever to reduce accident frequency

AI solution

  • Time-series ML on telematics scores mileage, braking, speeding and phone distraction
  • Prices behaviourally, coaches drivers, detects crashes for automatic FNOL

Business value

  • Revenue growth — proven risk segmentation and retention economics
IoT analyticsTime-series MLPredictive analytics
Value driver Revenue GrowthAdoption MatureComplexity HighTime to value Long
04

Policy Administration, Service & Engagement

1 Tier-1
Tier 1 · CoreUC 05

Policy Servicing Chatbots & Virtual Assistants

Business problem

  • Enormous routine volumes — billing, ID cards, coverage, claims status — at $5–15 per contact
  • Queues damage customer experience

AI solution

  • LLM assistants (chat and voice) authenticate customers and resolve routine journeys end-to-end
  • Hand-off of complex cases with full context

Business value

  • Customer experience — 24/7 service
  • Lower cost to serve
Conversational AILLMsRAG
Value driver Customer ExperienceAdoption MatureComplexity LowTime to value Short
05

Claims

3 Tier-1
Tier 1 · CoreUC 01

Claims Triage & Severity Prediction

Business problem

  • Claims assigned round-robin; complex, litigation-prone claims recognized late
  • The largest driver of leakage, cycle time and complaints

AI solution

  • ML scores every claim at FNOL for severity, complexity, fraud/litigation risk and STP eligibility
  • Routes to the right track — instant pay, desk, specialist, nurse, SIU

Business value

  • Cost reduction — leakage cut by several loss-ratio points
  • Faster cycle time, fewer complaints
Predictive MLNLPDecision intelligence
Value driver Cost ReductionAdoption MatureComplexity MediumTime to value Short
Tier 1 · CoreUC 02

Photo-Based Vehicle Damage Estimation & STP

Business problem

  • Physical inspection adds days and $100+ per auto claim
  • Supplements on 60%+ of estimates create rework and rental cost

AI solution

  • Computer vision on policyholder photos identifies damaged parts, repair vs. replace and the estimate in minutes
  • Touchless settlement and instant total-loss identification

Business value

  • Operational efficiency — days to minutes at massive volume
Computer visionDeep learningIDP
Value driver Operational EfficiencyAdoption MatureComplexity MediumTime to value Short
Tier 1 · CoreUC 10

Claims Adjuster GenAI Copilot

Business problem

  • Adjusters spend hours per file on medical records, legal correspondence and years of notes

AI solution

  • GenAI summarizes claim files, extracts medical chronologies, drafts correspondence
  • Paired with predictive next-best-action guidance

Business value

  • Operational efficiency — double-digit adjuster capacity gains
  • Faster, more consistent decisions
LLMsRAGPredictive ML
Value driver Operational EfficiencyAdoption GrowingComplexity MediumTime to value Short
06

Fraud & SIU

1 Tier-1
Tier 1 · CoreUC 03

Claims Fraud Detection & Scoring

Business problem

  • ~10% of P&C claims show fraud indicators; manual referrals catch a fraction
  • False positives slow honest claims

AI solution

  • Every claim scored in real time by supervised models, anomaly detection and GenAI analysis of unstructured content
  • Explainable alerts with evidence routed to SIU

Business value

  • Risk reduction — direct loss-cost reduction
  • Faster payment of legitimate claims
Anomaly detectionPredictive MLNLPGenAI
Value driver Risk ReductionAdoption MatureComplexity MediumTime to value Medium
09

Compliance, Legal & Enterprise Knowledge

1 Tier-1
Tier 1 · CoreUC 04

Document Intelligence (IDP) for Claims & Underwriting

Business problem

  • Submissions, loss runs, ACORD forms, medical records and police reports arrive as unstructured PDFs and emails
  • Staff read and rekey — days of latency and error

AI solution

  • OCR, layout models and LLMs classify documents, extract and validate fields
  • Clean data pushed into core systems; LLMs handle high-variety formats

Business value

  • Operational efficiency — the foundational enabler every other use case consumes
IDP / OCRLLMsNLP
Value driver Operational EfficiencyAdoption MatureComplexity MediumTime to value Short

Tier 2 and 3 · Expansion and emerging

The rest of the map

28 further use cases validated expansion plays and commercially emerging work, listed by business function. Ask us for the detail on any of them.

01

Distribution & Marketing

  • UC 19Lead Scoring & Next-Best-Product Recommendation
    Tier 2 · ExpansionDriver Revenue GrowthTime to value Short
  • UC 28Agent / Broker Copilot & Sales Enablement
    Tier 3 · EmergingDriver Revenue GrowthTime to value Short
  • UC 34Marketing Content Generation & Hyper-Personalization
    Tier 3 · EmergingDriver Revenue GrowthTime to value Short
02

Underwriting & Risk Selection

  • UC 15Accelerated Life & Health Underwriting
    Tier 2 · ExpansionDriver Revenue GrowthTime to value Medium
  • UC 24Portfolio Steering & Renewal Optimization
    Tier 2 · ExpansionDriver Revenue GrowthTime to value Medium
03

Pricing & Actuarial

  • UC 25ML-Enhanced Pricing & Rate Sophistication
    Tier 3 · EmergingDriver Revenue GrowthTime to value Long
  • UC 26ML Claims Reserving & Actuarial Forecasting
    Tier 3 · EmergingDriver Risk ReductionTime to value Medium
04

Policy Administration, Service & Engagement

  • UC 18Churn / Lapse Prediction & Retention Optimization
    Tier 2 · ExpansionDriver Revenue GrowthTime to value Short
  • UC 27Policy Document Generation, Review & Comparison
    Tier 3 · EmergingDriver Operational EfficiencyTime to value Short
  • UC 29Speech Analytics & Contact-Center QA
    Tier 3 · EmergingDriver Customer ExperienceTime to value Short
05

Claims

  • UC 11Straight-Through Claims Settlement (Personal Lines)
    Tier 2 · ExpansionDriver Customer ExperienceTime to value Medium
  • UC 12Conversational & Voice AI FNOL Intake
    Tier 2 · ExpansionDriver Operational EfficiencyTime to value Short
  • UC 13Medical Bill Review & Payment Integrity
    Tier 2 · ExpansionDriver Cost ReductionTime to value Medium
  • UC 14Subrogation Opportunity Detection
    Tier 2 · ExpansionDriver Cost ReductionTime to value Short
  • UC 20Injury Claims Guidance (Disability / Workers' Comp)
    Tier 2 · ExpansionDriver Cost ReductionTime to value Medium
  • UC 21Litigation Propensity Prediction
    Tier 2 · ExpansionDriver Cost ReductionTime to value Medium
  • UC 23Post-Catastrophe Damage Assessment (Satellite / Drone)
    Tier 2 · ExpansionDriver Customer ExperienceTime to value Medium
  • UC 36Agentic AI End-to-End Claims Handling
    Tier 3 · EmergingDriver Operational EfficiencyTime to value Medium
06

Fraud & SIU

  • UC 16Organized Fraud Ring / Network Detection
    Tier 2 · ExpansionDriver Risk ReductionTime to value Medium
  • UC 30Document & Image Forgery Detection
    Tier 3 · EmergingDriver Risk ReductionTime to value Medium
  • UC 31Application & Premium Fraud / Identity Verification
    Tier 3 · EmergingDriver Risk ReductionTime to value Medium
07

Risk Engineering & Loss Prevention

  • UC 32IoT-Enabled Loss Prevention (“Predict & Prevent”)
    Tier 3 · EmergingDriver Risk ReductionTime to value Long
  • UC 33Risk Engineering & Loss-Control Copilot
    Tier 3 · EmergingDriver Risk ReductionTime to value Medium
08

Reinsurance & Capital Management

  • UC 17Catastrophe & Climate Risk Modeling with AI
    Tier 2 · ExpansionDriver Risk ReductionTime to value Long
  • UC 35Parametric Insurance Triggers & Automated Payout
    Tier 3 · EmergingDriver Customer ExperienceTime to value Medium
  • UC 37Reinsurance Treaty & Exposure Analytics
    Tier 3 · EmergingDriver Operational EfficiencyTime to value Medium
09

Compliance, Legal & Enterprise Knowledge

  • UC 22Enterprise Knowledge RAG Assistant
    Tier 2 · ExpansionDriver Operational EfficiencyTime to value Short
  • UC 38Regulatory Compliance & Complaints Intelligence
    Tier 3 · EmergingDriver ComplianceTime to value Medium

Delivery

How Neor delivers it

  • The platform runs on hardware you own, inside your own jurisdiction.
  • Open, auditable components — no proprietary lock-in and no black boxes.
  • One reusable engine per capability, extended function by function.
  • Operated by us while it beds in, then handed to your engineers to run.

Where domain depth is required

Catastrophe modeling, actuarial pricing and telematics UBI

Most of the map is built once and reused. This part is not — it stays with the people who know the process, working alongside your own specialists.

The other industries

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Ali Salmaji

Ali Salmaji

DevOps Solution Architect

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