AI for Insurance Claims Support
Auralis AI accelerates insurance claims and service operations. Reduce time spent searching policy docs, claim histories, and procedures by 30 to 45%, allowing adjusters and support teams to resolve 2 to 4 times more cases per day while maintaining regulatory compliance.
The Challenge
Industry Dynamics & Roadblocks
Slow claims support
Claims experience defines loyalty
Customers weigh the claims experience as heavily as price, so slow or clumsy support directly costs renewals.
Manual claim handling
Manual processes inflate cost
Manual claims and service processes add significant operational cost and slow every interaction.
Clunky digital support
Poor digital experience drives churn
Clunky digital support is a leading reason policyholders leave for a competitor.
Impact & Stats with Auralis
- 85%+
- Level 1 tickets auto-resolved
- Eliminate repetitive policy and claims questions.
- 40%
- Faster response times
- Instant resolutions across channels.
- 25%
- Higher CSAT
- Empathetic, always-on digital assistants.
- 100%
- Compliance QA
- AI audits every conversation in real time.
- 3x
- Productivity gains
- Agents handle complex cases without backlogs.
SUPPORT COVERAGE
Common Insurance Claim Support Use Cases
Policy Coverage Queries
Answer questions about coverage limits, deductibles, exclusions, and policy updates instantly.
Claim Status Updates
Provide real-time tracking of submitted claims, documentation status, and payout timelines.
FNOL Intake (First Notice of Loss)
Capture incident details, validate required information, and initiate claim workflows automatically. Direct customer issues to the right departments instantly.
Claim Triage & Routing
Assess claim complexity and route cases to the appropriate adjuster or department immediately.
Document Collection & Validation
Request, verify, and track supporting documents to reduce processing delays.
Compliance & Audit Support
Ensure regulatory adherence with structured workflows, audit trails, and standardized communication.
Knowledge Management
Maintain up-to-date policy guidelines, claim procedures, and FAQs, automatically surfaced for agents and policyholders.
Claims Status
Recovered revenue through automated reconciliations, billing accuracy, and reduced write-offs.
Regulatory Audit & Compliance Monitoring
Review and archive all support interactions to ensure regulatory adherence, documentation accuracy, and audit readiness.
What If / Solution with AI Agents
What if every customer query, policy changes, claim updates, coverage checks, was resolved instantly, 24/7?
What if every support interaction was compliant by default, with AI monitoring for errors?
What if agents focused only on high-value, complex cases while AI handled the repetitive workload?
Auralis AI agents make this vision a reality, delivering faster, compliant, and more empathetic support at scale.
Customer Testimonials
Other store owners love Auralis – here’s why
The client is a cloud-based Insurance Claims Management platform that supports carriers and third-party administrators in streamlining claims intake, documentation processing, adjudication workflows, and policyholder communication. Its digital infrastructure enables automated status updates, fraud screening, and compliance tracking, helping claims teams resolve cases faster while maintaining regulatory oversight and customer trust.
- Headquarters
- United States
- Industry
- Insurance Claims
- Number of Users
- 180,000+
Auralis transformed the way we handle claims communication. Policyholders now receive real-time updates, document requests are automated, and our adjusters spend significantly less time responding to repetitive status inquiries. We've improved resolution speed while maintaining strict compliance and full audit visibility.
Integrates with over 500+ tools that you already use
Whether it's help desks, documentation, videos, CRMs, e-commerce, or customer support tools, Auralis enhances your workflow by integrating with all major platforms. Any platform with an API can be integrated with Auralis.
Zendesk
Help Scout
HubSpot
Confluence
Microsoft Teams
Telegram
Gmail
Google Drive
Trello
Basecamp
Google Analytics
SendGridZendeskHelp ScoutHubSpotConfluenceMicrosoft TeamsTelegramGmailGoogle DriveTrelloBasecampGoogle AnalyticsSendGrid
Intercom
Zoho Desk
Pipedrive
ServiceNow
WhatsApp
Discord
Zoom
Zapier
Asana
Dropbox
Skype
TypeformIntercomZoho DeskPipedriveServiceNowWhatsAppDiscordZoomZapierAsanaDropboxSkypeTypeform
Freshdesk
Salesforce
Jira Service Management
Slack
Messenger
Twilio
Google Meet
Notion
monday.com
Google Calendar
Okta
HootsuiteFreshdeskSalesforceJira Service ManagementSlackMessengerTwilioGoogle MeetNotionmonday.comGoogle CalendarOktaHootsuite
Save up to 10 hours per week per agent with Auralis Agent Assist
Seamlessly integrated into your helpdesk to enhance your team's efficiency, so your staff can focus on complex claims while Auralis handles the repetitive work.
Smart Reply Drafting
Auralis AI crafts context-aware responses to policyholder and claimant queries by analyzing previous interactions, knowledge base articles, macros, and ticket history, helping agents respond faster with accurate and empathetic messaging.
Claims System & CRM Sync + Summarization
Automatically updates your claims management and CRM platforms with conversation summaries, ensuring policy records, claim notes, and customer communication are accurately reflected without manual entry.
AI-Powered Ticket Triage & Resolution
Route, prioritize, and resolve claims and service tickets automatically by analyzing intent and history, so urgent cases reach the right adjuster fast and routine questions are handled instantly.
Turn Agent Expertise into Shared Knowledge
Instantly train Auralis using your current ticket history, and your best agents can fine-tune the AI with one click. A knowledge base article is then automatically created from the training, so your entire claims team benefits from the same expertise.
Built for Data Privacy & Compliance
At Auralis AI, data protection is paramount. Our systems follow strict security protocols and comply with leading standards including GDPR, SOC 2 Type II, and ISO 27001, so every policyholder interaction is handled securely.
GDPR
SOC 2 Type II
ISO 27001
HIPAAFeatured Resources
AI Agent Buying Guide
Choosing the right AI agent can make or break your customer experience. This guide walks you through the key questions to ask and factors to consider before investing in an AI agent for your business.
Get the AI Agent Buying GuideFAQ
Auralis automates routine policy queries, claim status updates, premium checks, and payment confirmations across channels. Simple cases are resolved instantly, while complex or sensitive issues are escalated to agents with full context. This reduces wait times and ensures policyholders always get accurate, consistent answers.