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AI Agents

Insurance Regulatory & Compliance

Policy Language Regulatory Check Agent

Validates policy wording against jurisdictional rules.

Context

Built for insurance within the Insurance regulatory & compliance stack, this agent is used whenever product wording must reflect local rules and updates—during new product launches, filing updates, and routine reviews of policy terms, riders, exclusions, disclosures, and customer-facing documents. It sits upstream of filings and downstream of product design to ensure the language that reaches customers and regulators is accurate and current.

What it does

The agent reads policy documents and supporting artefacts, identifies the relevant clauses (coverage, limits, deductibles, exclusions, cancellation, disclosures), and checks them against the applicable regulatory requirements and internal standards. It highlights missing or non-conformant language, pinpoints outdated references, and proposes corrective passages sourced from your approved libraries. Each finding includes a direct link back to the clause and the associated rule, creating a clear trail from requirement to wording.

Core AI functions

Document classification and section parsing tuned for policy/rider forms; clause extraction with normalization of terms and definitions; requirement-to-clause mapping using your obligation catalogue; variance detection to spot omissions and wording drift; and explainable findings with references to the governing rule and the exact passage in the document. Confidence scoring directs reviewers to low-certainty matches, and version awareness tracks changes over time.

Problem solved

Regulatory language drifts across versions, jurisdictions, and channels, and manual reviews are slow and inconsistent. Omissions or outdated clauses lead to rework, findings in audits, or delayed approvals.

Business impact

Reviews move faster with fewer iterations; filings and audits are supported by clear, clause-level evidence; and the risk of non-compliant or outdated language reaching customers is reduced. Teams spend less time searching and more time resolving targeted gaps.

Integration and adjacent use cases

Integration is light–moderate: ingest documents from your authoring tools, DMS, or product repository; write findings and suggested fixes to your compliance workbench or document workflow; no core changes required.

Common combinations in this stack include:

  • Claims settlement timeline validator (to verify mandated timelines and SLAs are reflected and met),

  • Audit trail completeness verifier (to ensure every decision and change is evidenced),

  • Customer communication consistency agent (to align letters, scripts, and disclosures with approved wording), and

  • Regulated document filing assistant (to assemble regulator-ready packs from the corrected language).

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