Otera + Insurity

Overview

Insurity provides claims administration for P&C insurers, managing claim data, enforcing workflows, and tracking claims through their lifecycle. The platform organizes claim information, but adjusters still evaluate coverage, assess liability, and determine settlements. When Otera connects to Insurity, autonomous AI agents handle that decision layer and execute claim resolutions, enabling end-to-end claims processing.

How It Works

Otera works alongside Insurity, extending claims administration into autonomous, end-to-end resolution.

• Receive claim data: Agents pull policy details, loss information, and claim documents from Insurity, assembling the context needed to evaluate each claim comprehensively.
• Evaluate coverage and liability: Otera deterministically enforces policy terms against claim circumstances to determine coverage applicability and liability exposure, handling the analysis that typically requires adjuster review.
• Process claims: Agents return decisions to Insurity, setting reserves, approving payments, and advancing claims through the workflow toward settlement.
• Escalate complex claims: When claims involve coverage disputes, significant liability questions, or litigation potential, Otera flags them with a summary of the key issues for efficient adjuster attention.