Where value leaks today

The problems we start from

Claim rejections

Inconsistent rules and the same missing document, claim after claim.

Rising claims cost

Overcharging and networks no single claim reveals.

Slow motor claims

Estimates checked from zero; customers waiting for a call.

Phone queues

Customers waiting minutes to ask what an agent could answer at once.

Licences and time zones

Work that cannot cross a region until the right licence is held, and offices that close before others open.

Regulatory change

Circulars mapped to controls by hand, under a deadline.

The Brain remembers

What your insurance Brain would keep

Not just records: the decisions behind them, with their reasons and outcomes, so every agent and every new colleague starts from experience.

  • what the same repair cost on the same model at the same garage
  • why this hospital's claims were rejected before
  • last year's investigation: the network, the pattern, the evidence that held
  • why last year's price was set for this group
The agent team

Six agents, each with an owner

Each badge shows the agent's autonomy (L0–L3 autonomy levels). The hand-written line is who decides.

CQ

Claim Quality

L2

Checks eligibility, benefit, authorisation, coding and tariff.

a medical reviewer decides the held ones
FW

Fraud & Waste

L1

Links claims and ranks a suspicious network.

an investigator decides
MC

Motor Claims

L2

Checks the estimate against benchmarks and drafts a fair offer.

the adjuster settles
UW

Underwriting

L1

Builds the risk file and flags technical-rate gaps.

the underwriter prices
CS

Customer Service

L3

Answers status questions at any hour, in Arabic, English or French.

complaints go to a supervisor
RI

Regulatory Intelligence

L1

Maps a circular to controls and prepares evidence.

the compliance officer signs off
One day in the life

An insurance day, hour by hour

06:00
Motor Claims
Fourteen overnight accidents; one estimate far above the usual.
07:30
Claim Quality
1,200 hospital claims checked; one held with its reason.
09:00
Fraud & Waste
Three clinics, one procedure, the same members: ranked for investigators.
12:00
Underwriting
A renewal below the technical rate is flagged with the loss history.
15:00
Regulatory Intelligence
A new circular mapped to controls, owners and evidence.

Illustrative scenario: the hours and details show how the agents would work; they are not results.

What a pilot would measure

Evidence, agreed with Finance

Each agent's effect goes to a benefits ledger that Finance owns, against a baseline agreed before the pilot starts.

claim rejection rateleakage and investigation yieldmotor settlement timetime to answer customerscompliance evidence time

No agent prices, settles, accuses or signs off. Claims go only to people licensed for that region.

Pick one process. See what your Brain would remember.

A 30-minute call: we map one process with you, where its decisions and their reasons live today, and what an agent could safely take on.

Book a discovery call