Deploy production AI workers for claims triage, underwriting support, policy review, and customer communications — with approval gates and audit trails built into every action.
Volume is crushing the loss-adjuster pool.
Claim intake, document review, coverage analysis, and customer touches scale faster than experienced adjusters and underwriters can absorb.
Wrong decisions become lawsuits.
A misclassified claim, a missed exclusion, a customer email outside compliance rules — single AI errors in insurance turn into bad-faith claims, regulatory complaints, and reputational damage.
Generic AI tools weren't built for regulated workflows.
Chat assistants weren't designed for state-specific regulatory rules, claims handling timelines, coverage form interpretation, or the human approval gates carriers and MGAs already run.
Each worker ships with templates, integrations, default Knox policy, and audit logging. Customize, deploy, govern.
Worker
Customer Intake Worker
Captures first notice of loss, collects policyholder details, drafts initial claim summaries, escalates complex intakes for adjuster review.
Common integrations: Guidewire, Duck Creek, Sapiens, internal claims systems
Worker
Claims & Policy Review Worker
Reviews incoming claims, classifies by severity and policy applicability, drafts coverage analyses, routes high-exposure cases for senior review.
Common integrations: Core claims platforms, document intake, internal routing systems
Worker
Vendor Document Review Worker
Reviews policies, endorsements, supporting documents, and third-party vendor records. Drafts analyses, flags ambiguities, routes interpretation questions for human sign-off.
Common integrations: Document stores, policy admin systems, contract review tools
Worker
Quote & Estimate Worker
Drafts underwriting estimates and policy quotes using current pricing rules, flags exceptions, escalates outside-appetite cases for underwriter review.
Common integrations: Submission portals, rating engines, underwriting tools
Worker
Compliance Monitor
Monitors insurance operations against state DOI rules, market conduct requirements, and internal policy. Flags violations, drafts remediation, routes events to compliance for sign-off.
Common integrations: GRC platforms, document stores, regulatory portals
Worker
Customer Success Worker
Handles policyholder communications and retention workflows. Drafts responses, runs compliance review against state-specific language, escalates non-standard requests for human approval.
Common integrations: Email, CRM, policy admin systems, contact center platforms
Claims decisions, coverage interpretations, customer communications, and exception cases pause for human review before they execute. The authority hierarchy you already run, enforced by Knox.
Every action, decision, and override is logged with immutable timestamps. Market conduct exams and DOI inquiries stop being archaeology.
Workers connect to Guidewire, Duck Creek, Sapiens, GRC platforms, and the systems your team already uses. No customer data leaves your environment unless you allow it.
For carriers and MGAs with data residency, regulatory, or security constraints — workers run in your VPC or on-prem with full audit logging outside the agent workspace.
Qoris is built for the workflows insurance teams already own — claims intake and triage, document review, underwriting support, compliance reporting, and policyholder communications. Workers ship pre-configured with Knox policy and audit logging. Most teams have a worker running against their stack within a week.
NVIDIA Inception Program
Claude Partner Network member
Qoris gives insurance teams the operating layer for governed AI work: workers, approvals, memory, audit, and infrastructure controls regulators and adjusters expect.
