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LIFE, NON-LIFE, HEALTH AND REINSURANCE

Sovereign AI for Insurance

Underwriting, claims and reporting each run on their own view of the policyholder, and the AI that could join them up would have to see health, financial and behavioural data the regulator watches closely. The platform joins them on one governed data platform inside the insurer, with every model decision traceable.

One view of the policyholder

Policy, claims, actuarial and external data resolved into one insurance ontology, so pricing, acceptance and claims decisions share a basis.

Human where the law requires

Agents prepare the underwriting file or the claim; an underwriter or handler decides on the cases the rules reserve for a person, and the decision is recorded.

Fair and explainable

Every model decision is versioned and traceable to its data, so pricing and claims outcomes can be explained to the customer and the supervisor.

IN PLAIN TERMS

An insurer decides the same things thousands of times a day: whether to accept a risk, at what price, whether a claim is genuine, how much to reserve. Each decision depends on data spread across policy administration, claims, actuarial models and external sources, and each is subject to fairness, explainability and solvency rules. AI can prepare and speed those decisions, but only on the insurer's own infrastructure, with a human deciding where the law requires, and a record of why.

Read this if you're leading underwriting, claims, actuarial, data, operations or IT at a life, non-life, health or reinsurance company, or accountable for its DORA, Solvency II and AI-governance obligations.


WHAT THE PLATFORM DOES HERE

For insurers, Scrydon is the sovereign AI and data platform that unifies policy, claims, actuarial and external data in one insurance ontology, runs underwriting, claims and fraud models and agents on it inside the insurer's own infrastructure, and produces the model-governance, fairness and audit records DORA, GDPR, Solvency II and the EU AI Act require.

It runs on-premises, in a sovereign cloud or in the insurer's own tenancy, with open-weight models served locally and every model, dataset and agent action versioned, attributed and logged.

THE INSURER'S PROBLEM

Thousands of decisions a day, on split data, under fairness rules

An insurer decides the same things thousands of times a day: whether to accept a risk and at what price, whether a claim is genuine and how much to pay, how much to reserve. Each decision depends on data that lives in policy administration, claims, actuarial models and external sources, and the file behind it is still assembled by hand. Genuine claims wait in the queue behind suspicious ones because triage is manual and fraud is found after payment.

The rules around those decisions are among the strictest in financial services. Health, financial and behavioural data are special-category data under GDPR; AI used in insurance pricing and claims is listed as high-risk under the EU AI Act, with fairness, explainability and human oversight obligations; Solvency II supervises model risk and reporting; and DORA makes dependence on a foreign black-box model an ICT third-party risk. AI that helps has to run inside the insurer, keep the human decision where the law puts it, and keep the reasoning.

  • The policyholder in piecesPolicy administration, claims, actuarial models and external data each hold part of the risk; the file is assembled by hand.

  • Claims by queueGenuine claims wait behind suspicious ones because triage is manual and fraud detection runs after payment.

  • Special-category dataHealth, financial and behavioural data under GDPR, and AI in insurance pricing and claims listed as high-risk under the EU AI Act.

  • Solvency and DORAModel risk, reporting and ICT third-party risk are supervised; a foreign black-box model is a finding waiting to happen.

ON THE PLATFORM

One insurance ontology, prepared decisions, human where it counts

The platform models the insurer in one insurance ontology: policyholders, policies, risks, claims, providers, reserves and the relationships between them, mapped from policy administration, claims and actuarial systems without migrating any of them. On that model, agents assemble the underwriting file or the claim, gather the evidence, check it against the rule and flag what needs a person, and fraud, triage and pricing models run on the insurer's own infrastructure with features drawn from the ontology.

The decision stays where the law puts it. An underwriter or claims handler decides on the cases the rules reserve for a person, Human+AI rather than automation, and the outcome, the model version and the reasoning are recorded together. Fairness and drift are monitored through AI observability, and solvency and conduct reports are drafted from the same governed data and checked by a person, so the supervisor sees one consistent story from data to decision to report.

  1. 1

    Model

    Policyholders, policies, risks, claims, providers and reserves modelled once, mapped from policy administration, claims and actuarial systems.

  2. 2

    Prepare

    Agents assemble the underwriting file or the claim, gather evidence, check it against the rule and flag what needs a person.

  3. 3

    Score

    Fraud, triage and pricing models run on the insurer's own infrastructure with features from the ontology, versioned and explainable.

  4. 4

    Decide and report

    The underwriter or handler decides; the outcome, the model version and the reasoning are recorded, and regulatory reports are drafted from the same model.

WHY SOVEREIGN

The insurer answers for the decision, so the insurer runs the model

The insurer answers for the decision, so the insurer runs the model. The platform runs on-premises, in a sovereign cloud or in the insurer's own tenancy, with open-weight models served locally and external models available only by explicit opt-in under policy. On shared infrastructure, confidential computing keeps health and financial data encrypted in use. Being model-agnostic, the platform lets the insurer swap models without re-architecting, which is the practical answer to concentration risk.

Governance is built into the way it runs. Every model, dataset and agent action is versioned, attributed and logged under AI governance; agents act under scoped identities; lineage links a decision to the data and concepts behind it. That record is the DORA, GDPR and EU AI Act evidence, and the basis of the solvency and conduct reports, produced by operating the platform rather than assembled for the supervisor.

  • Inside the insurerOn-premises, in a sovereign cloud or the insurer's own tenancy, with open-weight models served locally and external models by opt-in only.

  • Encrypted in useConfidential computing keeps health and financial data encrypted while processed on shared infrastructure.

  • Model governance built inVersioning, lineage, fairness monitoring and an immutable audit log for every model and agent.

  • Reporting from the modelSolvency and conduct reports drafted from the same governed data, checked by a person.

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Use cases

Use cases for insurance

Underwriting, claims, fraud and reporting on one sovereign platform.

Real-Time Fraud Detection

Security

Challenge

Traditional rule-based systems generate too many false positives and fail to catch sophisticated new fraud patterns.

Solution

Deploy autonomous agents that learn transaction patterns in real-time, flagging anomalies with high precision without moving data off-premise.

Read more

Reduction in fraud losses by 40% and false positives by 60%, improving customer trust.

Regulatory Reporting

Operations

Challenge

Compiling reports for regulators involves gathering data from siloed legacy systems, a tedious and manual process.

Solution

Data space connectors unify disparate data sources, and AI agents generate compliant reports automatically.

Read more

100% on-time reporting accuracy and significant reduction in operational overhead.

Shadow AI Discovery for EU AI Act Readiness

Compliance & Risk

Challenge

Individual teams have quietly adopted their own AI tools and agents, so the organisation cannot produce a complete inventory ahead of EU AI Act high-risk obligations.

Solution

Continuous discovery surfaces every agent and AI tool in use across departments, classifying each against EU AI Act risk categories and routing unsanctioned use into governed alternatives.

Read more

A complete, defensible AI inventory and a measurable reduction in unauthorised tool use ahead of the 2 December 2027 enforcement deadline.

Coordinated Human-Agent Loan Underwriting

Underwriting

Challenge

An underwriter's final decision depends on analysis an agent can assemble in seconds, but today that analysis and the underwriter's decision live in separate systems, so the handoff itself takes longer than either step.

Solution

The AI OS coordinates the underwriting process end to end: agents assemble financials, risk signals and policy checks, present them at the point of decision, and carry the underwriter's verdict back into the system of record automatically.

Read more

Underwriting decisions move from application to verdict in a single coordinated flow, with a complete record of what the agent found and what the human decided.

Ontology-Based Single Customer View

Customer Data

Challenge

The same customer exists as slightly different records in core banking, CRM and the mortgage system, so building one accurate view of a relationship means manually reconciling accounts that don't obviously belong together.

Solution

An ontology resolves customer, account and product records from every system into one entity graph, so a single customer means the same thing across the whole bank.

Read more

Relationship managers and agents work from one accurate customer view instead of stitching records together by hand.

FAQ

Frequently asked questions

Can AI decide on claims or pricing on its own?+
Where the law reserves a decision for a person, the platform routes it there: agents prepare the file, models score, and an underwriter or handler decides, with the decision and reasoning recorded. The Human+AI loan underwriting pattern applies to insurance underwriting as well.
How are pricing and claims decisions kept fair and explainable?+
Every model is versioned, its inputs traced through the ontology and its outcomes monitored under AI governance, so a decision can be explained to the customer and the supervisor and drift or bias is visible.
How does the platform support DORA and Solvency II?+
With resilient self-hosted deployment, audit trails, access logging and policy enforcement for DORA, and governed data and model lineage from which solvency and conduct reports are drafted. See regulatory reporting.
Can we detect claims fraud before payment?+
Yes. Fraud and triage models run in real time on the insurer's own infrastructure and agents assemble the evidence for the handler, so suspicious claims are held and genuine ones move faster.
Is health data protected from the cloud operator?+
Yes. Confidential computing keeps it encrypted in use, and the platform can run fully on-premises. See GDPR.
Do you partner on tenders and framework contracts?+
Yes, always. We are always looking to partner with primes, integrators and consortia on tenders, RFPs, framework contracts and European programmes, as the sovereign AI and data platform inside a larger bid or as a specialist subcontractor. If you are preparing a bid, talk to us early.

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NEXT STEPS

Keep going

Three routes from here: the rules you will be measured against, the platform these outcomes run on, and the sessions where we walk through them.

Next webinar

How – Inside the AI OS: running governed agents on your own cluster, live

17 Sept 2026, 09:00

Part 2 of the Sovereign AI series, for engineers and architects. No slides after minute five: an agent gets an identity and scoped permissions, calls tools over governed MCP, retrieves from the ontology rather than raw tables, runs inside the sandbox and is stopped when it steps outside policy, and everything lands in the audit trail — then the same stack brought up on a disconnected network. Properties and refusals, shown rather than claimed.

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