Otera + Sapiens
Sapiens powers core insurance operations for carriers globally, and Otera autonomously handles the decisions that move policies and claims to resolution.
.avif)
Table of Contents
Overview
Sapiens serves insurance carriers globally, providing policy administration, claims management, and billing for P&C, life, and specialty lines. The platform manages insurance transactions and workflows, but underwriting decisions, claims processing and adjudication, and exception handling still require manual intervention. Otera's AI agents take over the decision layer, autonomously evaluating situations and completing work end-to-end.
How It Works
Otera works alongside Sapiens, extending insurance operations into autonomous processing.
- Access policy data: Agents retrieve policy details, claim records, and customer histories from Sapiens, establishing context for autonomous processing.
- Evaluate claims: Otera deterministically executes coverage rules, policy language, and adjudication criteria to claims, determining settlements and updating all related systems without manual review queues.
- Process underwriting: AI agents decisively assess risk submissions against guidelines, returning decisions and quotes automatically.
- Route complex cases: When claims involve litigation potential or policies require specialized review, Otera routes them with full analysis and recommendations.
Are you a Sapiens implementer?
Help your clients accelerate operational efficiency with autonomous operations.
The Autonomous Era has already begun
.avif)
Pioneering secure Agentic Automation
Trusted by leading Fortune 500 companies, Otera delivers best-in-class cyber security, data privacy and user trust with extensive encryption and infrastructure protection.
