Service · Insurance

evol·ai·tion / evolution with ai built in

AI automation built for Australian insurers.

Claims, underwriting, policy admin and member support, automated and documented to align with APRA CPS 234. Built and hosted in Australia, with a full audit trail on every action, so your risk team can verify it, not just trust it.

SpecAU
focusclaims · underwriting · policy
alignmentAPRA CPS 234
data_residencyAU · onshore
audit_trailfull
experience10+ years
Designed to align with APRA CPS 234Onshore data residency10+ years experience30+ insurance clientsFull audit trail

Why us · 01

Why Australian insurers choose us.

An offshore build and an Australian build can look identical. They are not. Only one can be verified under Australian law, and that is the one we deliver.

Verifiable, not just functional

Every workflow documented and auditable, designed to align with APRA CPS 234.

Onshore by default

Data stored and processed in Australia, never quietly routed offshore.

Built for regulated work

Human-in-the-loop on consequential decisions, with guardrails you set.

Solutions · 02

Comprehensive insurance automation.

End-to-end automation across the operations that slow insurers down, each wired to your systems with a full audit trail.

01

Claims processing and triage

Automate intake, validation, triage and assessment, with payments processed under full audit.

02

Underwriting automation

Speed up risk assessment and quoting with models that keep a human in the loop.

03

Policy administration

Automate endorsements, renewals and certificates of currency end to end.

04

First notice of loss

Capture and route FNOL instantly, so nothing waits in a queue.

05

Member and broker support

24/7 chat and voice agents for policy, claims and product questions.

06

Fraud and anomaly detection

Flag suspicious claims for review, improving accuracy without removing oversight.

Lines · 03

Across every line of insurance.

Health, general and life, plus commercial and workers compensation.

Health insuranceGeneral insuranceLife insuranceCommercialWorkers compensationClaims managementUnderwritingBroker operations

See where automation pays off fastest.

Free assessment, or estimate the claims hours and cost you would save.

Compliance · 04

APRA CPS 234 alignment.

Our solutions are designed and documented to support your information security obligations, not to make claims you cannot stand behind.

Information security management

Controls mapped to your security framework and documented for review.

Onshore data residency

Data kept in Australia, with no quiet offshore processing.

Role-based access

Least-privilege access across every automated workflow.

Full audit trail

Every automated action logged, reviewable end to end.

Incident response

Alerting and response built into every automation.

Third-party risk

Provider controls documented for your risk function.

Case study · 05

Success story: a leading health insurer.

A real implementation, with the before and after stated plainly.

The challenge

Over 50,000 monthly claims processed manually, with 14-day average processing times, rising complaints and growing compliance risk.

Our solution

End-to-end claims automation for intake, triage, assessment and payment, validating claims and maintaining full APRA-aligned audit trails.

Results achieved

  • 70% faster claims processing
  • 45% lower operating costs
  • Faster member responses

Chief Operations Officer, Leading Australian Health Insurer

Outcomes · 06

Average client results.

Measurable improvements in efficiency, compliance and member satisfaction. Verify these against your own baseline before launch.

70%

Faster claims

45%

Lower op cost

50k+

Monthly claims handled

24/7

Member support

Comparison · 07

Manual versus automated insurance.

Manual insurance processes

  • xDays of manual claims handling
  • xInconsistent documentation and audit gaps
  • xSlow member and broker responses
  • xCompliance risk from delays
  • xCosts that scale with headcount

Evolaition automation

  • Claims triaged and processed in a fraction of the time
  • Consistent records and a full audit trail
  • 24/7 member and broker support
  • Designed to align with APRA CPS 234
  • Scales without adding headcount

Process · 08

From assessment to live.

A staged rollout with your risk team involved at every step.

Step 01

Assessment

Map workflows, volumes, risks and controls.

Step 02

Design

Architecture, guardrails and audit requirements.

Step 03

Build and evaluate

Development, testing and measured evaluation.

Step 04

Deploy and support

Staged go-live, monitoring and ongoing optimisation.

Custom · 09

Custom insurance SaaS platforms.

Beyond automation, we build bespoke insurance platforms tailored to your operational requirements.

Bespoke platforms

Built around your products, rules and workflows, not a generic template.

Your compliance baked in

APRA-aligned controls and audit trails designed in from the start.

Owned and onshore

Hosted in Australia, with controls documented for your risk function.

Discuss your platform Have an insurance platform idea? Let us scope it on a 30-minute call.

Questions · 010

Frequently asked questions.

What is insurance AI automation and how does it benefit Australian insurers?+

It automates claims, underwriting, policy admin and member support, reducing processing time and cost while keeping a human in the loop and maintaining a full audit trail.

Are these solutions APRA CPS 234 compliant?+

We design and document our solutions to align with and support your APRA CPS 234 information security obligations. Final compliance sign-off rests with your risk function, and we provide the documentation they need.

How long does implementation take?+

It depends on scope, but most claims-processing automations are delivered in a staged rollout over a number of weeks, with your team reviewing at each stage.

What is the ROI of claims and underwriting automation?+

Clients typically see large reductions in processing time and operating cost. We will estimate your specific ROI against your own baseline before you commit.

How does AI help insurance brokers?+

Agents handle enquiries, certificates of currency and follow-ups, freeing brokers to focus on advice and client relationships.

Security

Enterprise security, designed to align with APRA CPS 234.

Onshore data, encryption, role-based access, incident response and a full audit trail on every action, designed to align with the Privacy Act 1988 and APRA CPS 234.

Onshore dataEncryptionRBACAPRA CPS 234Incident responseAudit trail

Ready to automate your insurance operations?

Bring us your slowest, most manual process. We will show you how to automate it, safely and compliantly.

Australian-owned · Melbourne-based team · response within one business day