AI Agents

Context

Built for insurance within the Complaint & dispute stack, this agent is used when investigation outcomes or policy thresholds indicate that a suspicious activity filing should be prepared as part of complaint handling. It runs after case facts have been validated so reviewers can produce a complete, compliant narrative without rebuilding timelines and citations by hand.

What it does

The agent assembles a regulator-ready SAR draft from verified case data and approved templates. It pulls the who/what/when/where from the complaint record—parties, policies, payments, counterparties, dates, amounts, channels—and constructs a clear chronology of events with concise “why suspicious” reasoning aligned to internal policy. It inserts required identifiers and references, includes supporting exhibits and transaction summaries, and leaves editable sections for analyst judgment. Every statement carries line-of-sight to its source entry, allowing quick validation and finalization before submission.

Core AI functions

Normalization of subject, policy, and transaction data; timeline construction with de-duplication across alerts and events; translation of reason codes into plain-language narrative using the insurer’s SAR template and wording standards; exhibit generation (tables, references, attached pages) with page-level provenance; and completeness checks for mandatory fields, acknowledgments, and style rules.

Problem solved

SAR narratives assembled manually are slow, inconsistent, and prone to missing identifiers or weak “why suspicious” sections—especially under deadline pressure. Evidence is scattered across systems, driving rework and uneven outcomes.

Business impact

Filings become faster, consistent, and defensible. Investigators spend time on substance rather than assembly, review cycles shorten, and audit posture strengthens because the narrative and exhibits trace directly back to validated facts.

Integration and adjacent use cases

Integration complexity: Low to medium. The agent reads verified case data and artefacts from your complaints/disputes workflow and DMS, applies your approved SAR template and wording standards, and writes a versioned draft plus exhibits back to the same flow; core systems are unchanged.

It is commonly combined with:

• KYC periodic review validator (insurance) to confirm refresh status and evidence during the case,

• Regulatory rule compliance & filing (insurance) to enforce required steps and retention, and

• Transactional behavior risk analyzer (complaints) to import the behavior-led reasons and event sets cited in the SAR narrative.