Straight-through claims
FNOL triage, photo-estimate review and parametric-trigger evidence. Never pays or settles a claim.
Insurance agentic AI governance
Plan straight-through claims, intelligent underwriting, multimodal fraud review, conversational resolution and continuous compliance without pretending that high-impact insurance decisions should run without accountable people.
The five tracks
FNOL triage, photo-estimate review and parametric-trigger evidence. Never pays or settles a claim.
Document extraction, risk-signal review and quote-to-bind readiness. Never prices or binds coverage.
Identity, image, voice and behavioral anomaly signals. Never labels a person guilty or auto-denies.
Distress-aware routing and omnichannel handoff. Never changes coverage or makes legal representations.
Decision logs, policy tests, drift alerts and approval evidence. Never certifies compliance.
Azure reference architecture
Governance result
First-pass control, not a safety guarantee. The result is not insurance, actuarial, legal, fraud, medical or compliance advice and must not be used to decide a real case.
Primary-source basis
The control design was reviewed on 24 August 2026 against current primary sources. The NAIC expects insurers using AI to maintain a risk-based governance program and documentation; EIOPA highlights data governance, record-keeping, fairness, cyber security, explainability and human oversight; Microsoft documents identity, RBAC, content filters, evaluations, tracing and monitoring for Foundry agents.
No. It plans the evidence and approval gate. A real payout requires insurer-owned systems, verified triggers, fraud and sanctions controls, legal review, payment controls and explicit authorization.
No. The public lab models how image, voice and identity-integrity signals should be reviewed. It does not inspect media and must never be treated as proof of fraud.
No. RBAC makes a person eligible to act; it does not replace case review, separation of duties, a reasoned decision or an audit record.
Customer-owned Azure resources, Entra identity and RBAC, private networking, approved knowledge sources, retention controls, evaluated models, content-safety policy, monitoring thresholds, cost ceilings and named human approvers.