Insurance Process Automation Software

Your claims team spends 60% of their day on work that should run itself

Claims adjusters at most insurers spend more time chasing documents, re-keying data, and formatting compliance reports than they do reviewing actual claims. That's not a staffing problem, it's a process problem. We build automation that handles FNOL intake, policy data extraction, renewal workflows, and commission tracking without adding headcount.

See our work
  • Claims cycle time cut by automating FNOL intake, triage, and document collection

  • Policy renewals, cross-sell triggers, and lapse notices sent automatically at the right time

  • Underwriting data collection and compliance reports generated without manual intervention

  • Agent commission calculations run error-free at close of each period

Recent outcomes

Insurance automation · Mid-size carrier

Automated FNOL intake and document OCR pipeline, eliminating manual data entry across 500+ monthly claims.

375 hrs/month saved

AI OCR · Claims processing

Built a document intelligence pipeline that processes claims forms, repair estimates, and policy docs without human review.

20,000+ daily transactions

Workflow automation · Conversational AI

Deployed a conversational AI layer handling routine policyholder queries and renewal confirmations end-to-end.

70% queries resolved automatically
4.9 / 5 on ClutchSee all work

Recognition

Sound familiar?

  • Is your claims team manually entering the same data into three different systems?

  • Are renewals falling through the cracks because nobody has time to follow up consistently?

In short

RaftLabs builds insurance automation for US and UK insurers: FNOL intake, document OCR, renewal workflows, and commission tracking. 375+ labor hours per month eliminated at a typical mid-size carrier. Fixed price, 12 weeks to delivery.

Trusted by

Vodafone
Nike
Microsoft
Cisco
T-Mobile
Aldi
Heineken
GE

Automation delivery, by the numbers

automation systems deployed across industries
30+
average time to first automated workflow
8 weeks
rated by clients on Clutch
4.9/5
years delivering software for established businesses
9+

Why insurance operations stay manual longer than they should

Most insurers know their claims team is doing work that shouldn't require humans. The problem isn't awareness, it's that the automation conversation usually stalls at "our systems are too old" or "it'll take two years to implement." Neither is true. The processes that drain the most time are exactly the ones that automate cleanest: structured intake, rule-based routing, document extraction, scheduled communications, and period-end calculations.

The operations teams we work with aren't failing. They're doing high-volume, high-stakes work with tools that weren't built to handle it at scale. We fix the tool problem.

Capabilities

What we build

FNOL intake automation

First notice of loss processing is where claims get delayed or misrouted, and it happens before a human adjuster ever touches the file. FNOL arrives through three channels simultaneously and inconsistently: web forms (structured but incomplete), email (narrative text with attachment), and phone transcripts (unstructured, requiring NLP to extract claim details). We automate intake across all three: web form data flows directly to your claims management system with validation, email attachments are processed through OCR to extract loss details, and phone transcripts are analyzed to populate the claim record. Coverage validation fires automatically against the policy database to flag coverage questions before the adjuster opens the file. Document collection requests email the claimant for required documentation within minutes of FNOL receipt. Claims route to the right adjuster queue based on loss type, territory, coverage line, and complexity scoring, adjusters receive a pre-populated claim file, not an empty record to build from scratch.

Document processing and OCR

Insurance documents arrive in every format imaginable: policy applications as web form submissions, claims forms as scanned PDFs, medical reports as Word documents, repair estimates as spreadsheets, proof of loss as email attachments. We build document processing pipelines that handle the format variation: layout-aware OCR for variable-format documents (LayoutLM or Azure Document Intelligence), field extraction for the specific data points your claims or policy admin system needs, cross-validation against policy records and business rules (insured name and policy number match, date of loss within policy period, claimed amount within coverage limits), and automatic flagging of inconsistencies for adjuster review. Clean, structured data writes to your claims management system (Guidewire, Duck Creek, Applied Epic) or policy admin system. Adjusters see a structured summary of every document in a case, not a PDF attachment pile that requires manual reading and data extraction.

Renewal and lapse prevention workflows

Policy lapse from missed renewal is preventable revenue loss, the policyholder often intended to renew but didn't act because no timely, personalized reminder reached them. We automate renewal sequences that trigger at configurable intervals before expiry (90, 60, 30, 14, and 7 days) with escalating urgency: early communications present the renewal as a convenience, final communications communicate coverage gap risk. Each touchpoint pulls personalized policy details from your system, current premium, renewal quote, coverage summary, rather than sending a generic reminder. Channel selection based on policyholder preference: email, SMS via Twilio, or portal notification. Lapse-prevention sequences fire automatically when a payment fails (immediate retry notice + alternative payment method offer) or when a renewal isn't actioned within a defined window. Canceled policy win-back sequences can restart when a policyholder re-contacts after a lapse.

Underwriting data collection

Underwriters routinely spend 40-60% of their time gathering data that already exists in connected systems rather than making coverage decisions, which is the actual judgment work that requires their expertise. We build automated data aggregation pipelines that run when a new submission arrives: credit score lookups via Experian or Equifax API, property data from CoreLogic or Verisk, prior claims history from industry databases (CLUE, ISO), inspection report retrieval from your vendor network, and financial data for commercial lines from D&B or public filings. Each source result is normalized to a consistent schema and assembled into a complete underwriting file, with missing data flagged for manual collection rather than blocking the workflow entirely. Submission-to-complete-file time drops from days (waiting for underwriters to chase data between other tasks) to hours (automated collection running in parallel from submission receipt).

Compliance reporting

Insurance regulatory reporting requires pulling data from multiple systems (claims, policy admin, finance), reconciling it (claims counts must match premiums in the same period), and formatting it to state or Lloyd's market specifications, work that consumes compliance team capacity every period without adding analytical value. We automate the extraction from your source systems, the reconciliation logic that ensures statutory totals tie to underlying records, the format transformation to regulatory reporting templates, and the delivery mechanism (electronic filing, PDF generation). The compliance team receives a pre-built report with exceptions flagged for review: records that didn't reconcile, thresholds that need sign-off, and the variance explanations that regulators require. Sign-off and submission takes hours rather than the days it takes to build the report from scratch.

Audit trail generation is built into every transaction: every data access, transformation step, and submission event is logged with timestamp, user identity, and source record reference, producing the ISO 27001-aligned audit log that state DOI and Lloyd's market examiners request. For NAIC-reporting carriers, the pipeline maps data fields to the annual statement data format and validates against NAIC XBRL taxonomy rules before submission. For Lloyd's syndicates and coverholders, bordereaux data is extracted, normalized to the required format, and validated against Lloyd's Data Capture requirements. Statistical plans for state-filed line-of-business codes are produced from the same underlying claims data without a separate manual extraction step. When regulatory requirements change, revised state filing templates, new NAIC exhibit formats, the transformation layer updates without requiring changes to the source system integrations.

Agent commission tracking

Commission calculations that live in spreadsheets are a source of errors, disputes, and month-end delays, particularly when commission rules vary by product line, territory, production tier, and endorsement type, creating a calculation matrix that's easy to get wrong and hard to audit. We build commission tracking systems that pull policy transaction data (new business, renewals, endorsements, cancellations, and midterm adjustments) from your policy admin system at period close, apply your commission rule set (base rates, bonus tiers above production thresholds, clawback rules for early cancellation), net premium adjustments and returns, and generate agent statements automatically. Exceptions, policies missing commission codes, transactions that fall into ambiguous rule categories, route to a review queue with the specific issue flagged rather than silently producing a wrong calculation. Agents access their statements via a self-service portal. Finance sees reconciled payout totals by period before the run is approved.

For Managing General Agents and wholesale brokers, the commission engine handles multi-tier structures: retail agent commission, MGA override, and profit-share calculations from a single transaction record. Integration with Guidewire BillingCenter, Duck Creek Billing, or Applied Epic pulls the policy transaction feed directly rather than requiring a manual export. Digital signature via DocuSign or Adobe Sign is embedded in the agent statement workflow: agents acknowledge their statement electronically, producing the signed confirmation that resolves payment disputes without a back-and-forth email chain. Straight-through processing for low-complexity commission runs, where transactions match rules cleanly with no exceptions, allows the finance team to approve and process payouts without reviewing individual records, reducing period-close time from days to hours. Year-end 1099 data is assembled from the same transaction ledger, eliminating the reconciliation step between commission records and tax reporting.

How we work

From scope to shipped

Every automation project follows the same four phases. Scope is locked and price is fixed before development starts.

  1. Week 1
    01

    Audit and scope

    We map your highest-cost manual processes, measure the volume and frequency, and identify the automation candidates with the clearest ROI. You leave week 1 with a written scope document and a fixed-price quote. No development starts without your sign-off.

  2. Weeks 2-3
    02

    Design and architecture

    We design the integration approach, data flow, and business rule logic before writing a line of code. The spec is locked before the build starts. Design decisions made here cost ten times less than the same decisions made in week 8.

  3. Weeks 4-12
    03

    Build, integrate, and QA

    Working automation at a staging environment by the end of sprint one. Bi-weekly demos. QA runs in parallel with every sprint, not as a phase at the end. Integration with your policy admin system, claims platform, or CRM is scoped and tested throughout.

  4. Weeks 12+
    04

    Launch and post-launch support

    Production deployment with monitoring activated on launch day. 8 weeks of post-launch support included in every project. Exception queues and alerting are configured before handoff so your team can run the system without us.

Why us

Why teams choose RaftLabs

  1. Senior engineers build what they scope

    The engineers who assess your automation problem also build the solution. No bait-and-switch, no offshore handoff after the contract is signed. The team you meet in week 1 ships in week 12.

  2. Fixed price before development starts

    We scope the work, calculate the cost, and lock it in writing before any development starts. A scope change is a change request: priced, agreed, or dropped. It never absorbs into the project and appears on the final invoice.

  3. 9 years and 100+ products shipped

    Clients include Vodafone, T-Mobile, Aldi, Nike, Cisco, and Lockheed Martin. Track record across AI, SaaS, mobile, automation, and enterprise platforms across healthcare, fintech, logistics, and hospitality.

  4. Compliance built in from the start

    GDPR, HIPAA, SOC 2 — compliance requirements are scoped in week 1, not retrofitted before launch. We have shipped HIPAA-compliant systems for US healthcare clients and GDPR-compliant products for European markets. Insurance-specific compliance (state DOI reporting, NAIC XBRL) is handled in the build, not bolted on after.

  5. Automation ROI modeled before the project starts

    We model the ROI case using your actual claim volumes, labor costs, and error rates before you commit. The investment decision is grounded in your numbers, not an industry benchmark. Most carriers recover the full project cost within 6 months.

Which process is costing your team the most time right now?

We scope automation projects at a fixed cost. Tell us where the manual work is heaviest and we'll show you what's automatable.

Frequently asked questions

More than most operations leaders expect. The clearest wins are in document-heavy, rule-driven processes: FNOL intake (capturing loss details, routing to the right adjuster, triggering document requests automatically), OCR-based extraction from policy documents and claims forms, renewal reminders sent at configurable intervals before expiry, lapse-prevention sequences, cross-sell triggers based on policy anniversary or life event data, underwriting data aggregation from multiple sources, and compliance report generation pulled from your live policy data. Agent commission tracking and period-end reconciliation is another area where manual calculation creates expensive errors. None of these require replacing your core policy admin system, automation wraps around what you already use and handles the repetitive work that's eating your team's time.

Yes, that's the standard model. We don't replace your policy admin system, claims platform, or CRM. We connect to them. Most insurance operations run on a mix of older core systems, spreadsheets, and newer point tools that don't talk to each other. The automation layer sits between them: pulling data from system A, applying your business rules, writing results to system B, and triggering the next action. We've built integrations with platforms like Guidewire, Duck Creek, Salesforce Financial Services Cloud, and several proprietary insurer systems. If your system has an API or an accessible database, we can connect to it. If it doesn't, we work with the data exports it produces. The integration approach is scoped in the first two weeks and agreed before development starts.

A focused automation, for example, FNOL intake routing, or a renewal reminder sequence, typically takes 4 to 6 weeks from scoping to live. End-to-end claims processing automation, including document OCR, adjuster assignment, reserve calculation triggers, and compliance reporting, is closer to 10 to 14 weeks. The range depends on how many systems need to be connected, how complex your business rules are, and how much data cleaning is required before the automation can run reliably. We scope the work at a fixed cost before a line of code is written, so there are no mid-project cost surprises. Timelines are confirmed at proposal stage.

The pattern is consistent across insurers. A claims team handling 500 claims per month, where each claim requires 45 minutes of manual data entry, spends roughly 375 labor hours per month on work automation handles in seconds. At a fully-loaded cost of $50 per hour, that's $225,000 per year. Automation typically costs a fraction of that in the first year, and the saving repeats every year after. Beyond labor cost: faster claims cycle time improves customer satisfaction; renewal automation reduces lapse rates; commission accuracy reduces disputes. We model the ROI case before the project starts so the investment decision is grounded in your actual numbers.

Yes. We sign NDAs before any scoping call where you share proprietary process details, policy data structures, or system architecture. Confidentiality agreements are standard for all insurance work, where data sensitivity and regulatory exposure make NDAs a baseline requirement rather than a negotiation point.

The stack depends on what your existing systems can connect to. For document OCR and extraction we use Azure Document Intelligence or LayoutLM depending on document variability. For workflow orchestration we use n8n, Temporal, or custom Python services. Integration layers connect to Guidewire, Duck Creek, Applied Epic, Salesforce Financial Services Cloud, and proprietary insurer platforms via API or database. For scheduled communications we use SendGrid, Twilio, or your existing email infrastructure. We do not impose a fixed stack, we select tools based on what connects cleanly to your systems and what your team can maintain after handoff.

Work with us

Tell us what you need. We'll tell you what it would take.

We scope Insurance Process Automation in 30 minutes. You walk away with a clear cost, timeline, and approach. No commitment required.

  • Scope and cost agreed before work starts. No surprises. No obligation.
  • Working prototype within 3 weeks of kickoff.
  • Pay by milestone. You see progress before each invoice.
  • 60-day post-launch warranty. Bug fixes, UI tweaks, and deployment support. No retainer.
  • All conversations are NDA-protected.