Pegasus Agentic OS
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AI Transformation · Insurance and brokers

Enterprise AI for claims, underwriting and distribution.

For insurers, MGAs, brokers and TPAs: agents that take in claims and submissions, prepare underwriting files and answer policyholder queries, alongside AI for fraud signals, renewals and compliance, with a person deciding every claim and every risk.

Where AI helps first

  1. ClaimsFirst notice taken in
  2. SubmissionsBroker submissions read
  3. UnderwritingFiles prepared for review
  4. FraudSignals flagged for SIU
  5. RenewalsPrepared before the date
  6. ServicePolicy questions answered

Every agent action approved by a named person

Written for

Heads of claims, Chief underwriting officers and Heads of distribution and brokers

The question you came with

Why do claims and submissions still wait in inboxes for days?

Part of Enterprise AI Transformation

Where it starts in insurance. The first work handed to agents: claims intake agent, submission intake agent and underwriting file preparation. Each one drafts or flags, and a named person approves.

See the whole programme

What breaks in insurance

If two of these are true, the rest of this page is about you.

01

Claims arrive by email, phone and portal, and wait to be keyed in.

What it costsSlow first contact, unhappy customers and higher cost per claim.

What changesFirst notice of loss taken in, documents read and the claim set up for the handler.

Agentic OS · Signal
02

Broker submissions sit in inboxes.

What it costsUnderwriters spend their time on admin, and good risks go elsewhere.

What changesSubmissions read, data extracted and the file prepared with gaps flagged.

Agentic OS · Context
03

Fraud is spotted late.

What it costsLeakage that is hard to recover.

What changesFraud signals flagged with evidence for the special investigations team.

Agentic OS · Agents
04

Renewals are prepared at the last minute.

What it costsLapses and missed cross-sell.

What changesRenewals prepared weeks ahead, with changes in risk and coverage highlighted.

Agentic OS · Flow

Your role

What changes for each of the people who sign off.

Heads of claims

Faster claims at lower cost, without losing control.

  • Time to first contact
  • Handler time on admin

Chief underwriting officers

Underwriters focused on risk, not data entry.

  • Submissions triaged by appetite
  • Files ready for decision

Heads of distribution and brokers

Faster quotes and renewals for brokers and customers.

  • Quote turnaround
  • Renewal retention

What we build for insurance

The capability on the left, what your team would notice on the right.

  • Claims

    Claims intake agent

    First notice of loss taken in by portal, email or phone, documents read and the claim set up for the handler.

  • Submissions

    Submission intake agent

    Broker submissions read, data extracted into your underwriting system, and gaps flagged.

  • Underwriting

    Underwriting file preparation

    Risk information, loss history and external data assembled into a file for the underwriter.

  • Fraud

    Fraud signal agent

    Patterns and inconsistencies flagged with evidence for investigators to review.

  • Renewals

    Renewal preparation

    Renewals prepared ahead of the date, with changes in risk and coverage highlighted for the broker or account manager.

  • Service

    Policyholder service agents

    Coverage, documents and claim status questions answered by chat, voice and messaging.

Enterprise AI in insurance, beyond sales

The same programme runs in operations, finance and service. These are the first workflows we usually see handed to agents. Each one drafts, checks or flags; a named person decides.

  • Claims

    First notice taken in, documents read, and claims set up for handlers to decide.

  • Underwriting

    Submissions read and files prepared, with appetite and gaps flagged.

  • Distribution

    Quotes and renewals prepared for brokers and account managers.

  • Finance

    Premium, commission and claims payments reconciled, with breaks flagged.

  • Compliance

    Complaints, conduct and regulatory reporting evidence collected as work happens.

Where we start

Small, fixed and useful on its own. You decide after each step.

  • Weeks 1 to 3

    AI Transformation Review

    Operations, systems and data reviewed, and the first workflows ranked by value: usually claims intake or submission intake.

  • First pilot

    One workflow in production

    The highest-value workflow live with a baseline, a named approver and an audit trail.

  • Then

    Underwriting and renewals

    Underwriting files and renewal preparation, with underwriters deciding.

Questions

Will AI decide claims?

No. Agents take in, read and prepare. Handlers and underwriters decide, and every decision is logged.

Can it read our document types?

Yes. Claims forms, invoices, medical and repair reports, broker slips and schedules, checked against your rules.

How do you handle fraud signals fairly?

Signals come with evidence for an investigator to assess. Nothing is declined automatically.

Where do we start?

With the AI Transformation Review. It names the first workflow worth handing to an agent, and what has to be fixed first.

AI transformation for the agentic engine era

Start with a fixed-fee AI transformation review. We map your systems, data and teams against the six layers of Pegasus Agentic OS and name the first workflows to hand to agents. You keep the findings whether or not you work with us.