Otera + Socotra

Overview

Socotra serves over 40 insurers including MS Amlin, Mutual of Omaha, and Symetra, providing cloud-native core systems for policy administration, billing, and claims. The platform enables configurable products and API-first integration, but underwriting decisions, claims processing, and exception handling still require manual intervention. Otera's AI agents extend Socotra's capabilities by autonomously evaluating situations and advancing operations to completion.

How It Works

Otera works alongside Socotra, adding autonomous decision-making to cloud-native insurance operations.

• Retrieve transaction data: Agents access policy configurations, claim details, and customer records from Socotra, building context for each pending decision.
• Process underwriting: Otera evaluates applications against product rules and risk criteria, returning binding decisions without manual underwriting queues.
• Adjudicate claims: AI agents adjudicate claims against coverage terms and policy language, determining payments and advancing claims automatically.
• Flag complex situations: When claims involve coverage disputes or applications require specialized review, Otera routes them with full context and recommendations for efficient review.