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Use Case: Agentic AI New Business Good Order Check

Objective

Manual case preparation and requirements validation consume excessive administrative resources and delay new business processing. The New Business Good Order Check Workflow leverages agentic AI to automate the labor-intensive process of managing incoming applications, organizing pending records, and handling requirements gathering and verification, transforming this operational pain point into a competitive advantage.

AI Workflow Architecture

The system utilizes four specialized AI agents working in coordination through APIs and rules engine event integration. The process begins when a rules engine event triggers application intake, activating the agentic workflow as follows:

  1. Application Intake & Validation: AI Agent retrieves application data via API, validates completeness against business rules, and identifies missing mandatory information requiring correction.
  2. Agent & Product Authorization: AI Agent verifies advisor licensing through API, validates product specifications, and confirms authorization for the application's issue state.
  3. Requirements Assessment: AI Agent cross-references attached documents against master requirement lists, identifies missing mandatory requirements, and analyzes application content for activity-driven additional requirements.
  4. Document Processing & Analysis: AI Agent processes uploaded requirement documents, matches them to correct cases, identifies information conflicts between documents, and generates supplemental requirements based on content analysis.
  5. Risk Assessment & Documentation: AI Agent compiles comprehensive case analysis highlighting medical, financial, and lifestyle risk factors, documenting findings with confidence ratings for underwriting decision support.
  6. Task Generation & Workflow Management: AI creates tasks and alerts in PAS, with automation mode determining direct creation versus advisor approval workflows.

AI-Enabled Workflow Business Impact

  • Accelerated Processing: Reduces new business case preparation time by up to 80% through automated good order checks and requirements generation.
  • Enhanced Accuracy: Eliminates human error in requirements identification and ensures consistent application of business rules across all cases.
  • Operational Efficiency: Frees underwriting staff to focus on complex decision-making rather than administrative validation tasks.
  • Competitive Differentiation: Positions Equisoft clients as industry leaders in AI-driven insurance operations, creating significant cost advantages over manual competitors.