Challenges in insurance software
- Quoting and binding slowed by manual data entry and rating spreadsheets
- Claims documents arriving by email, fax and photo with no structure
- Agents and policyholders calling for status updates
- Legacy policy administration systems that are expensive to change
- Regulatory reporting that takes weeks to assemble
Software we build for insurance
Quote & bind
Online quoting with rating engines, underwriting rules and e-signature.
Policy administration
Products, endorsements, renewals, billing and documents.
Claims management
First notice of loss, assignment, reserves, payments and fraud flags.
Agent portals
Quotes, commissions, documents and book-of-business views.
Policyholder self-service
Policy documents, payments, ID cards and claims tracking.
AI document processing
Extract data from applications, invoices and medical bills for review.
Compliance and security
| Requirement | What it means for your software |
|---|---|
| State insurance regulations | Rate and form filings, required notices and record retention |
| NAIC Insurance Data Security Model Law | Information security programme, risk assessment and incident response |
| Privacy (GLBA, state laws) | Protection and appropriate sharing of policyholder data |
| Fair claims practices | Timely acknowledgement, investigation and communication of claims |
We are engineers, not lawyers. We build the technical controls these rules require and work with your compliance and legal advisers.
Systems we integrate with
Automation with human judgement
AI and automation can read documents, pre-fill claims, flag likely fraud and route work — but insurance decisions affect people’s lives and are regulated. We design automation that speeds up the routine and leaves decisions, exceptions and customer communication with your adjusters and underwriters, with full audit trails.
A modern claims experience
Claims are the moment of truth for insurers: the point where policyholders discover whether the promise they paid for is kept. A modern claims journey starts with a simple first notice of loss on a phone, with photos and documents uploaded directly. The claim is acknowledged instantly, triaged automatically by type and severity, and assigned to the right adjuster.
AI extracts key data from documents such as repair estimates and medical bills, flags inconsistencies and potential fraud indicators for review, and pre-fills the claim file. Policyholders track progress online and receive proactive updates instead of calling for news. Simple, low-value claims can move through a fast-track process with adjuster approval, freeing experienced staff for complex cases. The result is faster settlements, lower handling costs and higher customer satisfaction.
Modernising around a legacy core
Replacing a core policy administration system is a large, risky undertaking. Many insurers get faster results by modernising around the core first: building APIs that expose policy and claims data, then launching new portals, quoting tools and automation on top. Over time, products and functions can be migrated to a modern platform one line at a time, while customers and agents benefit from better digital experiences from the start.
A reference architecture for insurers, MGAs and agencies
Insurance technology usually centres on a policy administration system, with billing and claims either in the same suite or alongside it. Modern digital channels and automation are layered on top through APIs rather than by modifying the core.
| Layer | Role | Typical systems |
|---|---|---|
| Core | Policy, billing and claims records | Guidewire, Duck Creek, Majesco, Sapiens or an older in-house system |
| Rating & rules | Pricing and underwriting rules | Rating engines, rules engines, spreadsheets that should be retired |
| Distribution | Quoting and binding through agents, brokers and direct channels | Agency management systems, comparative raters, custom portals |
| Data providers | Third-party data used in underwriting and claims | Property, vehicle, credit-based and identity data services |
| Digital channels | Self-service for policyholders, agents and adjusters | Web portals, mobile apps, chat |
| Analytics | Loss ratios, pipeline and claims performance | Data warehouse and BI dashboards |
A typical insurance digital project
-
Map the journey2 weeks
Trace one product line end to end — quote, bind, endorse, renew, claim — and mark every manual hand-off.
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Confirm the core APIs1–2 weeks
Check what the policy system exposes and where middleware or batch files are needed.
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Design the rating approach
Decide whether rating stays in the core, moves to a rating engine, or is called from a new service.
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Build the first channel10–16 weeks
Often an agent quoting portal or a first-notice-of-loss flow for claims.
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Test with filed rates
Compare premiums from the new flow with the core system for a full set of test cases before launch.
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Launch by state or product
Roll out one state or product at a time to keep regulatory and operational risk manageable.
Build or buy for insurance
| Need | Packaged option | When custom makes sense |
|---|---|---|
| Policy administration | Guidewire, Duck Creek, Majesco, cloud-native cores | Rarely — only for niche products that no core supports |
| Agency management | Applied Epic, Vertafore AMS360, HawkSoft | Specialist agencies needing workflows these systems lack |
| Agent and broker portals | Core-vendor portals | When distribution experience is a competitive advantage |
| Claims intake | Core claims modules | Mobile-first first notice of loss with photo capture and triage |
| Document processing | Intelligent document processing products | High volumes of specific forms where tuned extraction pays off |
Implementing insurance regulation in software
Insurance is regulated state by state in the US. Many states have adopted versions of the NAIC Insurance Data Security Model Law, which requires an information security programme, risk assessment, oversight of third-party service providers and notification of cybersecurity events. New York’s DFS cybersecurity regulation (23 NYCRR 500) sets detailed requirements for covered entities. In software terms, this usually means:
- Encryption of non-public personal information in transit and at rest
- Multi-factor authentication for staff and privileged access
- Audit trails for policy and claims changes
- Retention schedules for policy and claims records
- Documented incident response and third-party risk information for your vendor reviews
- Rating logic that matches filed rates and can be explained to regulators
Your compliance team and counsel determine which rules apply to your entity and states; we implement and document the technical controls.
Common mistakes in insurance technology projects
- Copying rating logic into a new app instead of calling one source of truth
- Rebuilding the core when the real problem is the distribution experience
- Automating claims decisions without clear human review and explanation
- Ignoring agents’ existing tools and forcing double entry
- Launching all states at once
See also customer portal development and business process automation.
Using AI in underwriting and claims responsibly
Insurers are rapidly adopting AI to read documents, summarise claim files, triage submissions and detect potential fraud. Used well, it removes hours of repetitive reading and lets underwriters and adjusters focus on judgement. Used carelessly, it can produce unfair or unexplainable decisions and attract regulatory scrutiny — several states have issued guidance on the use of AI and external data in insurance, much of it based on the NAIC model bulletin on AI systems.
Our approach keeps people responsible for decisions and keeps the system explainable:
- AI extracts, summarises and suggests; licensed staff decide on coverage, pricing and claim outcomes
- Every AI output shows the source document and passage it came from
- Confidence thresholds route uncertain cases to people rather than guessing
- External data sources and model features are documented and reviewed for unfair discrimination risk
- Model performance is monitored over time and by segment, with the results available to your compliance team
- Customer data stays within approved environments, never used to train public models
Start with low-risk, high-volume tasks such as classifying incoming documents or pre-filling claim notes. These deliver value quickly and build the governance habits needed before AI is applied to more sensitive decisions.
Agent and broker experience
For carriers and MGAs that sell through independent agents, the quoting experience often decides which carrier gets the business. Agents compare several markets at once and will favour those that are quick to quote, clear about appetite and easy to service. Useful features include pre-filled applications from agency management data, instant indications with clear referral reasons, saved quotes that can be bound later, and self-service endorsements and certificates of insurance.
We design these portals with agents involved from the start, measure time-to-quote during testing and integrate with comparative raters where you participate in them.
Insurance metrics software can improve
| Metric | Where it comes from | Typical software lever |
|---|---|---|
| Quote-to-bind ratio | Rating and policy admin systems | Simpler quote journeys and pre-fill from data providers |
| Claims cycle time | Claims system events | Digital FNOL, document capture and automated triage |
| Loss adjustment expense | Claims and finance data | Straight-through processing for simple claims |
| Retention / renewal rate | Policy admin and CRM | Renewal reminders and self-service changes |
| Agent productivity | Agency management and CRM | Portals with quoting and status in one place |
Illustrative metrics; which ones matter depends on your organisation and goals.
We connect these measures to the events that drive them, so teams can see not just that cycle time rose but which step in the process caused it.
Insurance glossary
| Term | Meaning |
|---|---|
| FNOL | First notice of loss — the start of a claim |
| MGA | Managing general agent with delegated underwriting authority |
| Bordereau | Periodic report of policies or claims sent to a carrier |
| Policy admin system | The system of record for policies, endorsements and renewals |
Services for this industry
Related: AI & data engineering, legacy modernization and custom software development.
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