Densery
Insurance
Where agents triage claims and read medical records — first notice to payout, every decision evidenced.
Loss adjustment expense is the cleanest return in your business.
Loss adjustment expense (LAE) runs 10–15% of losses paid. Automation saves US$300–500 per claim in labour against roughly US$10 in technology. That ratio needs no modelling — it needs your volume.
Agents cut LAE in every season
LAE sits on the face of your combined ratio and moves whether or not a storm makes landfall.
Agents run straight-through when it counts
In a catastrophe, straight-through processing is the only lever that scales — built before the water rises.
Agents make being wrong visible
A misread date of service surfaces eighteen months later. The product is the score, the routing and the record.
What agents complete here
Completed into the claims platform, the policy admin system or the TPA's case system — evidence attached.
First notice of loss (FNOL) and claim triage
Agent decides intake, coverage, severity and routing and records the source page behind every field — routed to a named adjuster when coverage is ambiguous.
Medical records and hospital invoices
Agent reads handwritten, scanned and annotated records and scores every field — routed to a named examiner when confidence is low.
Underwriting evidence
Agent checks physician statements and lab results against guidelines and evidences the decision — routed to a named underwriter when a guideline is not met.
Bill review and bordereaux
Agent reconciles codes, dates and amounts and flags variances with the page — routed to a named reviewer when a variance is material.
Why insurers and TPAs choose Densery
We don't drop AI into one function. We complete the claim file and leave the evidence a carrier's audit team accepts.
The hardest document, first
A workers-comp medical record has resisted automation because being wrong is expensive and invisible. That is what the evidence layer is for.
Audit-ready by construction
What the machine decided and what the human changed, in one immutable record.
Deployed your way
On-premise for state funds and carriers under a residency obligation; hosted where it is a preference.
Capacity TPAs can sell
The same adjusters handling more files, with an evidence record for the carrier's audit team. One deployment, every client.
Bring your own AI
Assessors keep the assistant they know. It reads the claim through Densery, with the policy rules and the evidence trail attached.
Insurance · life · in production
Claims underwritten and settled for a top-three life insurer — every document checked at intake, answered in the customer's app, not in weeks.
The problem
A top-three life insurer, distributing through a bank's branches, was replacing its core policy system. Every claim arrived as a bundle of hospital records, invoices, discharge papers and physician statements, in whatever format the hospital produced, and every one was read by hand — by the claims team and by a third-party administrator. Customers waited weeks for a decision. The cost of the claims operation tracked headcount, not volume, and a mismatch between a document and the policy was found at assessment, late, rather than at intake.
What Densery did
First, the environment: an integration and shared-services layer between the new core and the channels — one digital platform carrying the sales, after-sales, new-business, policy-servicing and claim flows, with reconciliation and customer correspondence generated from the record. Then, on that platform, agents that read every claim document as it arrives, check it against the policy and the claim, flag a discrepancy with the page highlighted before an assessor sees the file, and write the checked claim into the claims flow through the platform's own API. From order to live processing took a single month, because the platform was already there.
The result
Every claim document is checked at intake rather than sampled at assessment, so a mismatch is caught before it costs a decision. Straightforward claims are answered in the customer's app as soon as the documents arrive; assessors take the exceptions. The insurer brought third-party administration back in-house and cut the cost of the claims operation, and the same platform now carries the rest of its core transformation.
Where else this applies
Every life and health carrier — and every bancassurance partnership — runs on the same third-party clinical documents, with no control over format and an expensive consequence when a detail is missed. Any insurer mid-core-replacement has the same opening: put the document work on the new platform, not beside it.
Who this is for.
Densery fits best where the work is document-heavy, where the answer has to be right, and where the data has to stay inside your walls. If that sounds like your operation, thirty minutes is enough to find out.
| Organisation | Size | Why |
|---|---|---|
| Life, health and general insurers | Continuous claims and underwriting volume | Enough file volume to clear the technology cost several times over — and a customer waiting on every file. |
| Bancassurance partnerships | Any scale | The bank's customers expect the bank's response time. Weeks is not it. |
| TPAs and claims services | Several carrier relationships | One capability serves every client; or the carrier brings the work back in-house. |
| Usually a weaker fit Insurtechs with clean digital intake | — | Less of a document estate to solve — worth a conversation if clinical documents still set your decision time. |
Thirty minutes with Densery.
Tell us about the work you want an agent to finish. We listen first, then show you the platform and the case that is closest to yours. This is a working session, not a sales pitch.