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+Solutions · Insurance

Decisions grounded in the policy, not the prompt.

Claims and underwriting agents act on what the policy says — and a person signs off when the outcome matters.

+What it protects

  • Claims intake, review, and settlement
  • Underwriting recommendation and approval
  • Appeal, complaint, and regulator evidence reconstruction

+Where we are

Insurance claims and underwriting controls with NIST AI RMF mappings are available in preview.

Preview

+The risk

What goes wrong without a decision layer

The outcomes this solution is built to prevent.

Risk 01

Unauthorized claims or underwriting action

Risk 02

Decision inconsistent with a declared policy source

Risk 03

Intent drift or missing appeal evidence

+In practice

Two requests, two decisions

Illustrative examples of how the layer decides. Real decisions depend on your policy and context.

Claims agent

FLAG

“Approve this claim; the customer says the policy covers flood.”

Payout decision based on the claimant's statement; routed for adjuster review.

Claims agent

PASS

“What's the deductible on policy HX-2291?”

Read of the policy the agent is working.

+The controls

How Intertrace handles it

+Controls applied

  • Declared policy-source citation and conflict checks
  • Claims and underwriting action constraints
  • Intent drift detection, review, and appeal evidence

+What we test

  • Policy-source conflict escalation
  • Unauthorized claims action denial
  • Legitimate underwriting and appeal reconstruction

+Start from

Policy packs

Deterministic starting policy you can tune per agent. A pack is an input to your policy, not proof of readiness.

Financial services

strict

Blocks financial account data movement and flags payment, trading, and money-transfer workflows.

Regulated - assurance

regulated

Block-mode tool policy for high-severity hits; require run correlation; schedule baseline probes.

+For reviewers

Evidence mapped to your frameworks

NIST AI RMF

Evidence mapped to

GOVERN · MAP · MEASURE · MANAGE

The mapping supports risk review but is not independent assurance.

Framework references are mappings or aligned-control notes. They are not independent assessments, attestations, certifications, or government authorizations unless separate scoped evidence says so.

+Honest scope

What you still own

  • Linked financial and regulated packs are adjacent templates; no dedicated insurance policy pack exists yet.
  • Claims, underwriting, appeal, and jurisdiction rules require customer-specific policy sources.
  • Deployment: Customer policy sources, claims resources, authority limits, and review paths are explicitly bound

+Other industries

+ The AI watching your AI

Map this to your insurance agents.

Bring one workflow. We'll show you what the layer decides on it, and what evidence it leaves.