AI Agents · Insurance

Insurance AI. Claims taken. Policyholders answered. Staff freed.

An autonomous agent for insurance agencies, MGAs, carriers and TPAs. It takes first notice of loss around the clock, gathers photos and documents, answers policy and billing questions, captures service and quote requests, and keeps claimants updated — while your licensed staff own every coverage and claim decision.

Available

What is an insurance AI agent?

An insurance AI agent is software that handles the routine contacts of an agency, carrier or TPA on its own: taking first notice of loss (FNOL) around the clock, collecting photos and documents, giving claim-status updates, capturing policy-service and quote requests, and sending renewal and payment reminders. Tribe's Insurance AI does the admin, while licensed staff and adjusters own every coverage and claim decision.

Updated

Insurance AI at a glance
StatusAvailable — built and ready to deploy for you
Best forAgencies and claims teams with heavy FNOL, claim-status and policy-service volume
ChannelsPhone, SMS, email, web chat and customer portal
Hours24/7 for FNOL; service hours set by you
LanguagesEnglish and Spanish
Works withYour agency management or policy administration system, claims platform, CRM, telephony and email.
A person takes over whenCoverage questions, disputes, injuries, distressed claimants and anything that needs a licensed professional
SecuritySOC 2 Type II, and PCI DSS where payment data is involved.
PlatformRuns on TIOS; built by CodingKey
What it handles

The work, done.

First notice of loss (FNOL) taken 24/7 by phone, chat or text, with photos and documents collected
Claim-status updates and proactive claimant notifications
Policy service — billing questions, ID cards, certificates of insurance and change requests captured for your team
Quote intake: prospect details gathered and handed to a licensed agent
Renewal and payment reminders
Document intake and data entry into your agency or claims system
Exceptions and red flags routed to your adjusters
Use cases

Real situations it handles.

A storm-night surge

Hundreds of policyholders report damage at once. The agent takes every FNOL in parallel, collects photos by text link and logs each loss for your claims team — no busy signals.

'Where is my claim?'

Claimants get status updates from your claims system on any channel, and are told exactly what is still needed from them.

Certificates of insurance

Requests for certificates, ID cards and proof of coverage are captured with the details and prepared or routed according to your process.

Quote intake

Prospects' details for auto, home or commercial quotes are gathered and handed to a licensed agent, ready to quote.

Renewals and payments

Policyholders get renewal and payment reminders on time, with questions routed to your service team.

Document chasing

Open claims waiting on estimates, receipts or statements get polite, persistent follow-up until the file is complete.

How it works — an example

A first notice of loss after a storm, handled.

1

Reported

A policyholder calls at night: a tree has come down on their roof.

2

Policy found

The agent identifies the policy using your verification rules.

3

Details captured

It records the date, location, damage and whether anyone is hurt, and texts a link for photos.

4

Logged

The loss is logged in your claims system — or sent to your team — and the policyholder receives a reference.

5

Next steps

It explains what happens next, following your script. Adjuster assignment and every decision stay with your team.

Example for illustration — not a real customer conversation.

Fit & control

Plugs into your stack. Keeps humans in control.

Integrates with

Your agency management or policy administration system, claims platform, CRM, telephony and email.

What stays human

Coverage advice, binding, underwriting and every claim decision stay with your licensed staff and adjusters. Complex, disputed or distressed claimants go to a person.

Compliance. SOC 2 Type II, and PCI DSS where payment data is involved. See our security & compliance →

Industry context

Why it matters now.

In the NAIC's 2022–23 home-insurer survey, 136 of 194 responding companies — about 70% — used, planned to use or planned to explore AI or machine learning.

Source: National Association of Insurance Commissioners (NAIC), 2023

U.S. employment of claims adjusters, appraisers, examiners and investigators is projected to decline 6% from 2025 to 2035.

Source: U.S. Bureau of Labor Statistics, 2025–2035 projections

Third-party figures, linked to their sources. They describe the industry, not Tribe's results.

Getting started

What it takes, and what you can measure.

What you get: Round-the-clock FNOL, fewer 'where is my claim?' calls, faster claim handling, and licensed staff focused on advice and sales instead of admin.

What we need from you

  • FNOL question sets by line of business
  • Access to your agency-management, policy or claims system — or how you want FNOL sent
  • Which service requests the agent may complete and which it captures for staff
  • Escalation rules for injuries, large losses and disputes
  • Your greeting and any required disclosures

What you can measure

  • FNOL reports taken, by hour and line of business
  • Claim-status contacts handled without staff
  • Documents collected for open claims
  • Service requests captured and completed
  • Quote requests passed to licensed agents
  • Handoffs to a person, and why

Reported through TIOS. Tribe measures results on your own data rather than promising numbers up front.

Responsible autonomy

The agent executes. Your people decide.

The agent handles the repeatable, high-volume work; your people own the decisions that matter. Human-in-the-loop escalation, full audit trails and security by default — built by CodingKey and proven in Tribe's own live operations before it reaches you. See our security & compliance.

Delivery choice

Human. AI. Or both — your call.

Run it as an AI agent, keep it fully human, or blend the two — you choose the mix, and change it as your confidence grows.

Available as

People and AI together — your call. Agents handle the volume, your specialists own the moments that matter. Start where you like, and shift the mix as your confidence grows.

Related services

Where this fits in our services.

Related agents
FAQ

Insurance AI, answered.

How is AI used in insurance claims?
In insurance claims, AI agents take first notice of loss at any hour, collect photos and documents, log the claim, answer status questions and chase missing paperwork — the administrative steps around each claim. Tribe's Insurance AI does this so adjusters can spend their time on investigation and decisions, which always stay with them.
Will AI replace insurance agents?
No. Insurance AI handles FNOL intake, status updates and routine service requests. Advice, coverage decisions, binding and client relationships stay with licensed agents — who get more time for them because the repetitive calls are handled.
How can insurance agents use AI?
Insurance agencies use AI agents to answer every call after hours, take FNOL, handle certificate and ID-card requests, gather quote details, send renewal and payment reminders and keep records up to date — then hand every advice or coverage conversation to a licensed agent with the details already captured.
What is first notice of loss (FNOL)?
First notice of loss is the first report a policyholder makes to their insurer after a loss — an accident, storm damage or theft. It starts the claim. Insurance AI takes FNOL 24/7 by phone, chat or text and collects what your claims team needs to act.
Does Insurance AI give coverage advice or bind policies?
No. It gathers information and handles routine service; coverage advice, binding, underwriting and claim decisions stay with your licensed staff and adjusters.
Can it take first notice of loss after hours?
Yes. Insurance AI takes FNOL 24/7 by phone, chat or text, with photos and documents collected and the loss logged for your team — including during catastrophe surges, when every line would otherwise be busy.
Who is Insurance AI for?
Independent agencies, MGAs, carriers and third-party administrators — any team with high volumes of routine policyholder and claims contacts.
Is Insurance AI secure?
Yes. Insurance AI runs inside Tribe's security programme — PCI DSS compliant, ISO/IEC 27001 certified, SOC 2 Type II audited — with role-based access, encryption and a full audit trail of every action the agent and its human team take. Documentation is available under NDA; see the Security & compliance page.
How much does Insurance AI cost?
Tribe does not publish a price list for Insurance AI. Each deployment is quoted after a short scoping call, based on your volume, the channels you want covered and the systems it has to connect to — and the quote is all-inclusive. The pricing models are explained on the How pricing works page.

Put this agent to work.

Tell us the workflow. We'll deploy an agent that runs it — with your people in control.