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SCIKIQ · Insurance data and AI services

Data & AI services for insurers — advise, build, transform, run.

SCIKIQ teams set your data and AI strategy, build the platforms, transform underwriting, claims, the customer voice and finance, and run what we build. Our SCIKIQ Data Fabric, insurance accelerators and a supervised digital workforce of AI agents are how we deliver it faster.

9
Service lines, strategy to run
30–45
Day pilot to a production-ready capability
02The challenge

Insurance data and AI programmes stall because every one starts from zero.

Policy, claims and billing systems from past acquisitions, unstructured customer data and long implementations mean value arrives late — or not at all.

0369121518 months Typical programme still no production value 1 2 3 4 SCIKIQ pilot on the framework & an accelerator 30–45 days to a production-ready capability

1 · No governed data foundation

Policy admin, claims, billing and actuarial systems don't agree; calls, surveys and complaints are unstructured and full of personal data.

2 · Services firms rebuild from scratch

Each project re-invents pipelines, models and controls, so timelines and fees grow.

3 · Software alone doesn't change the process

Point products solve one use case and leave integration, data and adoption to the insurer.

4 · AI pilots never reach production

Proofs of concept built without data, controls and an operating model stay on the shelf.

03Market shift

Insurers are moving from sampling and copilots to supervised agents on every interaction.

GenAI now reads every call, complaint and survey; agents prepare the case; people decide the critical ones.

Then · people review a sample
Now · a person supervises many agents

So what for an insurer: once agents read everything, the deciding capabilities are privacy by design, autonomy limits and a human owner for every claim, complaint and underwriting decision.

04Who we are

A platform that arrives with industry IP and the team to run it — so insurers pay for outcomes, not reinvention.

05What we do

Nine service lines cover the lifecycle, organised the way insurers buy them.

Select a stage on the wheel, or start from your role.

Advise2 service lines Build2 service lines Transform4 service lines Run1 service line 9 service lines
Start from your role

Every service line runs on the same framework, accelerators and digital workforce. All services in detail →

06How we deliver · SCIKIQ Data Fabric

A repeatable 4C method turns raw insurance data into production-ready capabilities in 30–45 days.

Policy admin Claims & billing GL / ERP (SAP, Oracle) Calls, surveys, complaints Actuarial & reinsurance Documents & legacy 268 data sources STEP 1 · WEEK 1–2 Connect 268 data sources, batchand streaming, AI-assistedschema mapping STEP 2 · WEEK 2–4 Curate Standardise, cleanse,enrich: MDM, de-dupand data quality rules STEP 3 · WEEK 3–5 Contextualize Metadata catalog, criticaldata elements, multi-hoplineage, ownership, policy STEP 4 · WEEK 4–6 Consume Data products, APIs, BI,NLQ GenAI studio and theagents behind accelerators Accelerators AI agents BI: Power BI, Tableau APIs & data products NLQ GenAI studio Week 1Week 2Week 3Week 4Week 5Week 6 ConnectCurateContextualizeConsume Production-ready capability in 30–45 days
  1. Step 1 · Week 1–2Connect268 data sources to policy admin, claims, billing, GL/ERP, contact-centre and survey platforms, actuarial systems and documents; batch and streaming.
  2. Step 2 · Week 2–4CurateStandardise, cleanse and enrich: MDM, de-duplication and data quality rules.
  3. Step 3 · Week 3–5ContextualizeMetadata catalog, critical data elements, multi-hop lineage, ownership and policy.
  4. Step 4 · Week 4–6ConsumeData products, APIs, BI, NLQ GenAI studio and the agents behind each accelerator.
GovernancePolicies, ownership, operating model
Metadata & catalogCatalog and glossary
LineageMulti-hop, to IFRS 17 & solvency reports
Data qualityRules, monitoring, controls
AI & agent layerGenAI, ML, agentic workflows
Security & auditRBAC, audit trails, IaC
Built in, not bolted on: foundation layers shared by every engagement — cloud-agnostic on Azure, AWS or hybrid, deployed with Infrastructure as Code.Full architecture →
07How we deliver · Target architecture

Twelve capability layers give every insurer one blueprint — and one way to measure progress.

The same layers we build and score in the maturity assessment. Hover a layer to see what it does.

Data foundationConnected, understood, governed
2Data FabricConnect, ingest, CDC, transform
3Active Metadata FabricDiscover, classify, understand and govern data
Meaning & knowledgeBusiness meaning, usable context
4Enterprise OntologyBusiness objects, relationships, semantics
5Knowledge FabricKnowledge graph, vector, documents
6Context EngineeringThe right context for people and agents
Intelligence & actionModels, agents, enterprise actions
1Secure AI GatewayModel access, routing, security
7Agent FabricBuild, orchestrate and run agents
8Action FabricExecute enterprise actions safely
12Enterprise AutomationEvent, API and schedule-driven
Trust & experienceGovern, evaluate, deliver
9Governance & SecurityRBAC/ABAC, policies, approvals, lineage
10AI LifecycleEvaluation, versioning, testing, monitoring
11Experience LayerCopilots, dashboards, apps, workflows

Runs in your cloud tenancy or on-prem. Code, ontology and agents are handed over — you own what we build. Explore the blueprint →

Maturity: five stages, scored on evidence
5Transformational
AI-native
4Systemic
Orchestrate
3Operational
Scale
2Emerging
Pilot
1Foundational
Experiment

MIT CISR found enterprises at stages 3–4 perform well above their industry average financially, while those at stages 1–2 perform below it. Source

Take the self-assessment

08How we deliver · Accelerators

Insurance and cross-industry accelerators mean no service line starts from a blank page.

Insurance GenAI accelerators, plus cross-industry accelerators configured to insurance data. Hover or tap a tile.

Distribution, Customer & VoC Customer

Call Transcript IntelligenceGenAI contact-centre analytics
Squad: Call Transcript Analyst, PII GuardView →
Complaints Triage EngineImpact-based prioritisation
Squad: Complaints Triage AgentView →
Multilingual Survey IntelligenceRegional-language feedback
Squad: Survey Theme TaggerView →
Survey Verbatim TaggingThree-tier theme tagging
Squad: Survey Theme TaggerView →
PII GuardPresidio + spaCy redaction before any LLM
Runs ahead of every model callView →
CATALYSTCustomer 360 & next-best-action

Claims & Fraud Claims

Fraud & AuthorizationScoring adapted to claims & payments
Claim Fraud ScorerView →
Dispute & ChargebackCase resolution with evidence assembled

Data Governance CDO

Data Governance HubCatalog, lineage & data quality
SOX ComplianceAutomated controls reporting

Finance, Actuarial & Regulatory CFO

CLARIONPremium, claims-payment & bank matching
Premium & Claims ReconcilerLaunch demo ↗
COMPASSFP&A, scenarios & board pack
NARRATORResults & regulatory-return commentary
Results Commentary WriterView →

Operations & servicing COO

Revenue AssurancePremium & billing leakage
Premium Leakage FinderView →
RPA AutomationBots for servicing & back office
Control Tower & Automation FoundryAutomation CoE command centre
Insurance acceleratorCross-industry accelerators are configured to each insurer's data and controls; their demos run on banking sample data.
09How we deliver · Supervised digital workforce

26 agent roles across eight insurance domains — your people supervise the exceptions.

Agents prepare submissions, claim files, complaint triage, fraud referrals and reconciliations. Underwriting, coverage, settlement and SIU decisions stay with people.

Agent squads by domain
Product, pricing & actuarial · 3Distribution, agents & partners · 3Underwriting & risk selection · 3 Policy administration & servicing · 3Customer experience & complaints · 4Claims · 3 Fraud & special investigations · 3Finance, reserving & regulatory · 4

Squads are designs from our AI & Agentic Engineering practice.

8
Squads, one per domain
26
Agent roles
19
Observe, suggest or wait for approval
7
Act alone only inside policy limits

Agents plan, call tools and gather evidence. Policy decides what goes straight through; a named owner approves everything else; a kill switch halts all agents.

10How an agent works a case

An agent does the legwork on every case; a person makes the call when policy says so.

Replay: a complaint about an approved claim that hasn't been paid. The Complaints Triage Agent works it.

Plan Act Check Humangate Log COMPLAINTS TRIAGE Case resolved & logged 9 of 9 steps
  1. 1Source systemsA complaint arrives on the partner feed: two claims were approved three weeks ago and still haven't been paid.
  2. 2Data fabricThe record lands in the governed complaints pipeline; a near-real-time trigger fires for potentially critical cases.
  3. 3PII guardPolicy number, email and phone are detected and masked before any text reaches the model.
  4. 4ContextThe complaint is joined to the policy, the claim status and the customer's recent calls — only what this analyst may see.
  5. 5AgentCalls tools through the secure AI gateway: classify_scope score_frustration assign_impact_level; proposes L1 · High with the phrases that drove it.
  6. 6PolicyKill switch, autonomy level and confidence are checked. L0 and L1 complaints can never be closed by an agent: this one goes to a person today.
  7. 7Human gateThe complaints analyst reviews the evidence on one screen and confirms, raises or lowers the level.
  8. 8ActionThe case is escalated to claims operations with the claim numbers and a same-day response target.
  9. 9AuditEvery step, tool call and decision is recorded; the analyst's override, if any, feeds the next model evaluation.
11Autonomy & guardrails

Autonomy is set per agent and raised only on evidence — inside hard guardrails.

0 1 2 3 4 People do the workAgents do the work
Level 3 · Act within limits. Acts on its own inside policy limits; everything else is escalated.

Confidence threshold

Straight-through only if confidence and evidence checks pass; set per agent with your risk team.

Per agentmin. confidence

Decision limits

Coverage, settlement, payments, denials and underwriting decisions always go to a person.

Alwaysa person decides

Named human owner

Approves, edits or rejects every exception; L0 and L1 complaints and SIU referrals always need a person.

Same dayfor L0 / L1

Privacy & logging

Personal data masked before any model call; every plan, tool call and decision logged; overrides feed evaluation.

PresidioPII guard

Kill switch

One control halts every agent at once.

Readystatus

Governance & controls

12Value

What could a supervised agent squad free up in your operation?

Move the sliders to your own volumes. Agents work the cases; people review only the exceptions.

e.g. complaints, claim files, submissions or service requests
Cases agents close within policy, with no human touch
Time for a person to check the agent's draft and approve
3,467
Hours saved per month
23.1
FTE equivalent (150 h / month)
USD 1.9M
Cost saved per year (USD 156,015 / month)
Human hours per month
Manual today
4,000 h
Supervised agents
533 h
Every 100 cases
60 go straight through40 go to a personOne supervisor can oversee 5,625 cases / month

Estimate only, not a quote or a SCIKIQ result. Manual hours = cases × minutes ÷ 60. Supervised hours = cases × (1 − STP share) × review minutes ÷ 60. Hours saved = manual − supervised. FTE = hours saved ÷ 150. Cost saved = hours saved × cost per hour. Supervisor capacity = 150 h × 60 ÷ ((1 − STP share) × review minutes). Excludes platform and run costs.

13Why SCIKIQ

Faster than services alone, a better fit than software alone.

How the SCIKIQ model compares with the usual ways insurers deliver data, AI and agentic automation.

CriterionBig-4 / SIservices onlyPoint productssoftware onlyIn-house buildSCIKIQplatform + accelerators + delivery
Time to production value6–12 months3–6 months + integration12–18 months30–45 days
Insurance data models & domain depthGeneric methodsOne use caseBuildPre-built
Reusable data foundationRebuilt per projectVendor-specificBuildSCIKIQ Data Fabric
Ready-made acceleratorsVariesSingle productNoneInsurance + cross-industry
Supervised AI agents in operationsPilots / PoCsCopilot featuresBuild & governAgent squads with guardrails & AgentOps
Process change & adoptionYesLeft to insurerPartialYes
Run & continuous improvementSeparate contractProduct supportInternal teamManaged services
Total cost of ownershipHighMedium–HighVery HighLow

Big-4 / SI (6–12 months), point products (3–6 months + integration) and in-house builds (12–18 months) are compared on larger screens.

14How we engage

Four phases, each ending with something you keep — and three ways to buy it.

1

Discovery & Planning

2–6 weeks

You receive a maturity assessment and target blueprint, with a prioritised roadmap.

Gate: pilot scope signed off
2

Analysis & Design

3–6 weeks

Target-state design and ontology, mapped to your controls; agent autonomy agreed with claims, underwriting and compliance.

Gate: design authority
3

Build & Deploy

Sprints · pilot live in 30–45 days

Landing zone as code, pipelines, accelerators and agents configured and tested on real data.

Gate: go-live readiness
4

Support & Embed

Hypercare, then your choice

Runbooks, evaluation suites and knowledge transfer to a trained team.

Gate: handover sign-off
Ownership moves to you as the SCIKIQ pod steps back
■ SCIKIQ podWeekly status · bi-weekly steering · phase-gated sign-off■ Your team

Staff Augmentation

Architects, data and AI engineers embedded in your teams, under your delivery lead.

Best when you run the programme and need specialist capacity.

Project Delivery

Outcome-based delivery of an accelerator or platform build by a SCIKIQ pod, with phase gates.

Best for a pilot or a new layer of the target architecture.

Managed Services

We run and improve the platform, models and agents — DataOps, MLOps and AgentOps under SLAs.

Best after handover, while your team builds its run capability.
15Pilot proposal

A 30–45 day accelerator pilot proves value on one use case before you commit to scale.

Fixed scope, fixed timeline, agreed success criteria — and a scale-up business case at the end.

One accelerator & its agent squad

Typically Call Transcript Intelligence or the Complaints Triage Engine, agents starting at “act with approval”.

2–3 source systems

e.g. call transcripts or a complaints feed, plus the policy and claims systems.

One business unit

Named business owner and SMEs for rules and UAT.

SCIKIQ pod

Engagement lead, data engineer, domain SME, AI / agent engineer.

Activity → output
Wk 1
Wk 2
Wk 3
Wk 4
Wk 5
Wk 6
Discovery, data access, baseline→ Pilot charter & baseline
Week 1
Connect & curate sources on the framework→ Governed pilot dataset
Week 2
Configure rules, models & agents (autonomy, limits, guardrails)→ Working accelerator & agent squad
Weeks 3–4
Parallel run & UAT→ Measured results & override log
Week 5
Read-out & scale-up plan→ Business case & roadmap
Week 6
100%
Of in-scope calls or complaints analysed
Same day
Escalation for critical (L0 / L1) cases
100%
In-scope data with lineage & DQ checks
Go / no-go
Scale decision backed by a business case

Success-criteria targets are agreed in week 1.

16Next steps

Three steps take us from this conversation to value in production.

Start small with one accelerator, prove it, then scale on the same framework.

1

Scoping workshop

Walk through your data landscape and pain points, pick the pilot use case and agree success criteria.

1–2 weeks
2

Accelerator pilot

Deploy one accelerator and its agent squad on the framework against live data, and measure the result.

30–45 days
3

Scale & embed

Roll out across business units and further accelerators through project delivery or managed services.

Project or managed service

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